Patient presents with chief complaint of head pain.  Onset, duration, character, location, aggravating factors, and relieving factors of the cephalgia were thoroughly assessed.  Patient describes the headache as (insert character: sharp, dull, throbbing, pressure, etc.) located in the (insert location: frontal, temporal, occipital, parietal, bilateral, unilateral, etc.) region.  The pain began (insert onset: gradually, suddenly) (insert duration: minutes, hours, days, weeks, months, years ago).  Aggravating factors include (insert factors: stress, caffeine withdrawal, certain foods, menses, exertion, light, sound, etc.), and the pain is relieved by (insert factors: rest, darkness, quiet, over-the-counter analgesics such as ibuprofen or acetaminophen, prescribed medications such as triptans or ergotamines, etc.). Associated symptoms include (insert symptoms: nausea, vomiting, photophobia, phonophobia, aura, dizziness, vision changes, weakness, numbness, tingling, fever, neck stiffness, etc.).  Review of systems was performed with pertinent negatives and positives documented.  Past medical history, surgical history, family history, and social history were reviewed and are significant for (insert pertinent history related to head pain: history of migraines, tension-type headaches, cluster headaches, trauma, sinus infections, hypertension, anxiety, depression, medication use, etc.).  Physical examination including neurological exam was conducted and revealed (insert pertinent findings: normal neurological exam, tenderness to palpation, trigger points, sinus tenderness, nuchal rigidity, etc.).  Differential diagnoses considered include migraine, tension-type headache, cluster headache, cervicogenic headache, sinus headache, medication overuse headache, secondary headache disorders such as temporal arteritis, intracranial hypertension, and brain tumor.  Based on the patient presentation and clinical findings, the diagnosis of (insert specific headache diagnosis) is most likely.  Plan includes (insert plan: patient education on headache triggers and management, lifestyle modifications such as stress reduction techniques, pharmacological management with over-the-counter analgesics, prescription medications such as triptans, NSAIDs, muscle relaxants, preventative medications such as beta blockers, antidepressants, anticonvulsants, referral to neurology, ophthalmology, or other specialists as indicated, imaging studies such as CT scan or MRI if clinically warranted, follow-up appointment scheduled, etc.). Patient was advised to return to the clinic if symptoms worsen or do not improve with treatment.