
Part One: Warm Up
Discuss the following questions with your partner(s):
- What is the difference between a walk-in clinic and a hospital? What do you think can be done at a clinic and at a hospital?
- Have you ever gone to a walk-in clinic before? If you have, what was the visit like?
Part Two: The Clinic Intake Form
When you see a doctor at a walk-in clinic, the receptionist might ask you to fill out a form about who you are and your medical history so that the doctor has some information to treat you and the clinic can contact you when it’s necessary. This is also the same for hospitals as well.
Fraser Street Medical
You will look at an example of a patient intake form from Fraser Street Medical, a community clinic in Vancouver, and you will fill it out as if you are a new patient at the clinic.
Your Medical History
As a new patient, you are going to imagine that you are seeing the doctor at Fraser Street Medical because you have been feeling unwell for the past week.
You have been coughing and feeling chest pains, and your eyes have been itchy and watery. Many of your family including yourself have suffered from asthma their entire lives. You have also been feeling more tired than usual lately. You are allergic to dust which causes your eyes to itch. You take an allergy medication twice a day when needed (you are currently taking it). You sleep 8 hours a night, and you drink 2 cups of coffee regularly every day. You don’t smoke or drink alcohol. You play tennis on the weekends. You’ve had an eye exam 4 months ago, and a dental exam 2 months ago.
Your previous clinic is South Surrey Medical Clinic, and your doctor’s name is Dr. Grayson. You’ve stopped being his patient because you moved to Vancouver. In Vancouver, you have been issued a care card, which is a card that gives you access to healthcare services, so that you can access health care services in the city. Your Care Card number is: 9712 889 123.