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P A T I E N T N O T E S
HEAVEN HOSPITAL
COPTIC HEALTH
Surname:
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Given Names:
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Date of Birth:
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PATIENTNOTES
Procedure Required:
Spiritual Rehabilitation
Photo:Allergies and Sensitivities:
sin, temptation, desires, lusts
Reaction:
death, separation from theBody of Christ and the church
Treatment & Medications:
Prayer Repentance & ConfessionHoly CommunionFastingServiceBible reading............................................................................................................................................................................................................................................................................................................................................................................................................
Tests to be carried out:
soul searchingwillingness to change present?desire to be healed?
Preoperative orders:
Attend all consultations and sessions in the next three days.Take all prescribed medication as directed to obtain desired effect.
Clinical Details:
Last confession date: / /Last Holy Communion date: / /Prayer regime: ................................................Bible reading: ...................................................Church attendance: .......................................Service: ...............................................................Bad Habits: ........................................................Desires & Lusts: ................................................
“For I am the Lord who heals you.”
Exodus 15:26
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