Date: SESSION_DATE Patient: PATIENT_NAME Provider: DOCTOR_NAME Diagnosis: Presenting Problem: PATIENT_NAME presented with concerns about suffering from fever for two days, with fluctuations in temperature. Mental Status: PATIENT_NAME appeared alert and oriented. Mood was not explicitly discussed, but the patient expressed concern about their symptoms. Speech was clear and coherent. Thought process was logical and goal-directed. No evidence of psychosis or suicidal ideation. History of Present Illness: PATIENT_NAME reported experiencing fever for the past two days, with the temperature fluctuating between high and low. Past Psychiatric History: Medical History: Social History: Family History: Medications: Treatment Plan: • Monitor fever and maintain hydration. • Consider over-the-counter antipyretics to manage fever if necessary. • Seek further medical evaluation if symptoms persist or worsen. Goals: • Manage and reduce fever symptoms. Prognosis: Prognosis is good with appropriate management and monitoring of symptoms. Next Steps: • Schedule follow-up appointment if symptoms do not improve or if additional concerns arise. Notes: • PATIENT_NAME expressed a desire for relief from fever symptoms and was receptive to treatment recommendations.