Patient presents with complaints consistent with balance dysfunction, possibly indicative of an imbalance disorder.  Symptoms reported include disequilibrium, unsteadiness, dizziness, vertigo, lightheadedness, and a sensation of falling.  Onset of symptoms was [Onset timeframe - e.g., gradual over the past few months, sudden this morning].  Precipitating factors, if any, include [Precipitating factors - e.g., head movement, positional changes, recent illness].  Aggravating factors noted are [Aggravating factors - e.g., standing, walking, turning quickly].  Alleviating factors include [Alleviating factors - e.g., sitting, lying down, closing eyes].  Patient denies any loss of consciousness.  Physical examination revealed [Physical exam findings related to balance - e.g., positive Romberg test, impaired gait, nystagmus].  Differential diagnosis includes benign paroxysmal positional vertigo (BPPV), vestibular neuritis, Meniere's disease, labyrinthitis, cerebellar ataxia, and other causes of disequilibrium.  Assessment suggests a diagnosis of imbalance, likely related to [Likely cause if known - e.g., vestibular dysfunction, peripheral neuropathy].  Plan includes [Diagnostic tests - e.g., vestibular function testing, audiometry, MRI brain] and referral to [Referral specialist - e.g., otolaryngologist, neurologist, physical therapist] for further evaluation and management.  Patient education provided regarding fall prevention strategies and vestibular rehabilitation exercises.  Follow-up scheduled in [Follow-up timeframe - e.g., two weeks] to assess response to treatment and further refine the diagnosis and management plan.