PMH, medications, allergies were reviewed. I have reviewed the paper MARs. Physical Exam: Vital signs were reviewed. RESPIRATORY: The breath sounds are equal bilaterally with normal amplitude. There are no crackles, rubs, or wheezes. CARDIOVASCULAR: The heart sounds are normal. There are no murmurs, rubs, clicks or gallops. Impression: 1. Plan: 1. London Ollis, Scribe Electronically Signed Carolyn Mueller, FNP-C DEA: MM1461350 NPI: 1558393066 NC Lic:5002042