Gender: Male Female         

Age : Chol :

BP: HDL:

HTN Treated: No Yes         FHx CHD : No Yes

Now Smoking: No Yes         hsCRP>2: No Yes

Diabetes Diag: No Yes        Do CRP?

10-Year Risk of all CVD:

Framingham Risk Level :

ASA Therapy Evaluation:

Target LDL on Therapy :

Initiation of Treatment If: