Listen to the conversation twice. Fill in each blank space with no more than one word or numbers.
TOTAL HEALTH CLINIC
PATIENT DETAILS
Personal In formation
Name: Julie Anne Garcia
* Contact phone: (6) ……………………………..
* Date of birth: (7) …………………………….. October 1992
* Occupation works as a: (8) ……………………………..
* Insurance company: (9) ……………………………..life insurance
Details of the problem
* Type of problem: pain in her left (10) ……………………………..
* When it began: (11) 3 ……………………………..ago
* Action already taken: has taken pain killers and applied ice
Other information
* Sports played: belongs to a (12) …………………………..club
goes (13) ……………………………..regularly
* Medical history: injured her (14) …………………………..last year
no allergies
no regular medication apart from (15)
……………………………