Patient presents with complaints of right neck pain.  Onset of pain is described as (acute, subacute, chronic) and began (duration) ago.  The pain is characterized as (sharp, dull, aching, burning, throbbing, electric, stabbing) and located in the (upper, middle, lower) right neck, possibly radiating to the (right shoulder, right arm, head, back).  Patient reports the pain is (constant, intermittent) and (aggravated, alleviated) by (specific movements, postures, activities, rest).  Pain severity is reported as (mild, moderate, severe) on a scale of 0-10, currently at (numeric pain score).  Associated symptoms may include (headache, stiffness, numbness, tingling, weakness, dizziness, nausea, limited range of motion).  Past medical history includes (relevant medical conditions, e.g., cervical spondylosis, whiplash, arthritis).  Medications include (list current medications).  Physical examination reveals (tenderness to palpation, muscle spasm, decreased range of motion, neurological deficits, crepitus).  Differential diagnosis includes (cervical strain, cervical radiculopathy, facet joint syndrome, torticollis, myofascial pain syndrome).  Assessment: Right neck pain, likely due to (presumptive diagnosis).  Plan:  (Conservative management including rest, ice, heat, over-the-counter pain relievers such as ibuprofen or naproxen, physical therapy referral, muscle relaxants, prescription pain medication if indicated).  Follow-up scheduled in (duration) to assess response to treatment.  Patient education provided regarding proper posture, ergonomics, and activity modification.  ICD-10 code: (appropriate ICD-10 code based on diagnosis).