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PATIENT IDENTIFICATION PATIENT HISTORY WOUND HEALING CENTER East Texas Medical Center Regional Healthcare System Page 1 of 4 Date: *WC0022* 70153 A C312F REV. 4/13 GENERAL INFORMATION: Name: Home
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How to fill out patient identification patient history:

01
Provide accurate personal information: Start by filling out the patient's full name, date of birth, gender, and contact information. Make sure to double-check the spelling and accuracy of these details.
02
Medical history: Record the patient's medical history, including any known allergies, chronic diseases, or past surgeries. This information helps healthcare providers to understand the patient's overall health status.
03
Family medical history: In this section, note any hereditary diseases or conditions that run in the patient's family. This information is vital in identifying potential risks or genetic predispositions.
04
Medication history: List all the medications the patient is currently taking, including prescribed medications, over-the-counter drugs, and any herbal supplements. Include the dosage and frequency of each medication.
05
Immunizations: Document the patient's vaccination history, including the dates and types of vaccines received. This information helps determine if any immunizations are due or if the patient requires additional vaccinations.
06
Emergency contacts: Provide contact information for the patient's emergency contacts. This enables healthcare providers to reach out to someone close to the patient in case of an emergency or for further information related to the patient's medical history.

Who needs patient identification patient history?

01
Healthcare providers: Patient identification patient history is essential for healthcare providers to understand the patient's medical background, allergies, ongoing medications, and any potential risks. This information helps healthcare professionals make informed decisions regarding diagnoses, treatments, and prescriptions.
02
Patients: Patients themselves also benefit from having an updated and accurate patient identification patient history. It serves as a reference for them to recall their medical history accurately and can be shared with other healthcare providers during transitions of care.
03
Medical researchers: Patient identification patient history, when anonymized, can be used for medical research purposes. It helps researchers identify trends, patterns, and potential risk factors across different patient populations.
Overall, the patient identification patient history is necessary for providing personalized, effective, and safe healthcare to individuals while also contributing to broader medical knowledge and research.
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