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PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE Department of Osteopathic Manipulative Medicine 4190 City Avenue, Suite 330 Philadelphia, Pennsylvania 2158716425 Health History (Please circle answers
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How to fill out health history - Philadelphia:

01
Begin by obtaining the appropriate health history form from a healthcare provider or medical facility in Philadelphia.
02
Carefully read and understand each section of the form, including any instructions or guidelines provided.
03
Start by providing your personal information, such as your full name, date of birth, address, and contact details.
04
Move on to the section related to medical history, where you will be asked to provide details about any past or current medical conditions, surgeries, or hospitalizations.
05
Include information about any medications you are currently taking, as well as any allergies or adverse reactions you may have had to medications in the past.
06
Fill in the section dedicated to family medical history, where you are required to mention any hereditary or genetic conditions that run in your family.
07
Provide a detailed account of your immunization history, including the dates of any vaccinations you have received.
08
If applicable, accurately record your reproductive health history, including any pregnancies, childbirths, or abortions you have had.
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Be prepared to disclose any lifestyle factors that may be relevant to your health, such as smoking, alcohol consumption, recreational drug use, or dietary habits.
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Finally, carefully review your completed health history form to ensure all information is accurate and up to date.

Who needs health history - Philadelphia:

01
Individuals who are seeking medical care in Philadelphia and are required to provide their medical history to healthcare providers.
02
Residents of Philadelphia who are enrolling in health insurance plans and need to provide their health history information to the insurance provider.
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Job applicants in Philadelphia's healthcare industry who are required to fill out health history forms as part of the employment process.
04
Patients visiting Philadelphia for specialty or specialized medical treatments who need to provide their health history to the healthcare professionals involved in their care.
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Health history - Philadelphia refers to a document that contains information about an individual's medical history, including past illnesses, surgeries, medications, and family history of diseases.
All residents of Philadelphia are required to file health history with the appropriate health authorities.
Health history - Philadelphia can be filled out either online or on paper forms provided by the health department. It is important to provide accurate and up-to-date information.
The purpose of health history - Philadelphia is to track and monitor the health status of the population, identify health trends, and prevent the spread of diseases.
Health history - Philadelphia must include information about past illnesses, surgeries, medications, allergies, and family history of diseases.
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