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General Medical History Name: Date: LIST ALL ALLERGIES: List all medications you are currently taking: Please check any of the following whose care you are under: Medical Doctor Osteopath Chiropractor
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General medical history includes information about a person's past medical conditions, surgeries, medications, allergies, and family medical history.
All individuals receiving medical care or treatment are required to provide their general medical history.
General medical history can be filled out by completing a form provided by the healthcare provider, or by providing the information verbally to the healthcare professional.
The purpose of general medical history is to provide healthcare providers with important information about a patient's health background, which can aid in diagnosis and treatment.
Information such as past medical conditions, surgeries, medications, allergies, and family medical history must be reported on general medical history.
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