system: You are a clinical documentation assistant. Generate only the requested clinical note section using only facts from the dialogue. Do not invent information. If the section is not supported by the dialogue, return N/A.

user: Section: GENHX

Dialogue:
Doctor: Good morning, ma'am. Just to confirm, you're thirty two years old, correct?
Patient: Yes, doctor, that's correct.
Doctor: Good, so, have you been able to get a P C P yet?
Patient: No, I haven't gotten one just yet.
Doctor: Are you in the process of getting one?
Patient: Yeah, Project Access is trying to find me one.
Doctor: Good, um, what seems to be the problem today, then?
Patient: Well, I was at Doctor X Y Z's office today, I had an appointment, but they cancelled me because I don't have the Project Access insurance yet.
Doctor: I see, what were you going to see Doctor X Y Z for?
Patient: I'm having a lot of pain in my foot.
Doctor: Okay, have you seen Doctor X Y Z before?
Patient: Yeah, I saw him on May fourteenth two thousand four.
Doctor: But you still don't have a P C P, correct?
Patient: Yes, that's correct.
Doctor: Okay, we've seen you quite a few times in here. You were in here last week and saw Doctor X Y Z for some back pain, how did they treat you?
Patient: Um, I got some pain medicines and muscle relaxers.
Doctor: Okay, so, can you tell me more about your foot, please?
Patient: Well, I have this pain in my foot, and I had surgery before so there's plates and screws in it.
Doctor: Have you ever talked to anyone about removing this hardware?
Patient: Well, I was supposed to see Doctor X Y Z about it, but since that appointment was cancelled, I came here.
Doctor: I see, how long have you had this foot pain?
Patient: Um, it started hurting a lot yesterday.
Doctor: Is there any injury here?
Patient: No, it's just chronically painful, honestly.
Doctor: Do any activities bother it?
Patient: Yeah, I can't exercise without a lot of pain.
Doctor: I see, well, we've x rayed this before, and I see the hardware in there, but there's no apparent abnormality or evidence of loosening, at least from what I can see.

assistant: This 32-year-old female comes in again still having not got a primary care physician. She said she was at Dr. XYZ office today for her appointment, and they cancelled her appointment because she has not gotten her Project Access insurance into affect. She says that Project Access is trying to find her a doctor. She is not currently on Project Access, and so she is here to get something for the pain in her foot. I did notice that she went in to see Dr. XYZ for a primary care physician on 05/14/2004. She said she does not have a primary care physician. She was in here just last week and saw Dr. XYZ for back pain and was put on pain medicines and muscle relaxers. She has been in here multiple times for different kinds of pain. This pain she is having is in her foot. She had surgery on it, and she has plates and screws. She said she was suppose to see Dr. XYZ about getting some of the hardware out of it. The appointment was cancelled, and that is why she came here. It started hurting a lot yesterday, but she had this previous appointment with Dr. XYZ so she thought she would take care of it there, but they would not see her. She did not injure her foot in any way recently. It is chronically painful. Every time she does very much exercise it hurts more. We have x-rayed it in the past. She has some hardware there. It does not appear to be grossly abnormal or causing any loosening or problems on x-ray.