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MEDICAL HISTORY PATIENT NAME Birth Date Although dental personnel primarily treat the area in and around your mouth, your mouth is a part of your entire body. Health problems that you may have, or
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13880_medical_history_071310 is a medical history form that collects important information about a patient's medical background.
Medical professionals or healthcare providers are required to fill out and file 13880_medical_history_071310 for their patients.
The form must be completed thoroughly and accurately by providing all the requested information about the patient's medical history.
The purpose of the form is to ensure that healthcare providers have access to important medical information about a patient to provide appropriate care and treatment.
Information such as medical conditions, past surgeries, allergies, medications, and family medical history must be reported on the form.
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