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ADULT VOICE CASE HISTORY FORM Name: Date of Birth: Address: Age: Referring physician: Phone: Pertinent Medical Diagnosis : Primary Language Other Language spoken: Family physician: Phone: Reason for

How to fill out voice case history form

How to fill out adult voice case history:

1. Start by gathering relevant information about the patient, such as their name, age, and contact details.
2. Ask the patient about their chief complaint or reason for seeking voice evaluation. This could include symptoms like hoarseness, vocal fatigue, or difficulty with speaking or singing.
3. Inquire about the patient's medical history, including any previous voice conditions or surgeries, chronic illnesses, allergies, or medications they are currently taking.
4. Ask about the patient's vocal hygiene habits, such as smoking, excessive talking or yelling, or exposure to environmental irritants.
5. Explore the patient's occupational and social voice use, including their profession, hobbies, and any activities that may place strain on their voice.
6. Assess the patient's voice-related quality of life by asking about any limitations or difficulties they experience in their daily life due to their voice problem.
7. Inquire about the patient's vocal training or any previous voice therapy they have undergone.
8. Request information about the patient's psychological well-being, including any history of anxiety, depression, or stress that may affect their voice.
9. Finally, ask the patient if they have any specific goals or expectations for voice evaluation or therapy.

Who needs adult voice case history:

1. Adult individuals experiencing any voice-related symptoms or concerns can benefit from filling out an adult voice case history.
2. Professional voice users, such as singers, actors, teachers, or call center employees, who heavily rely on their voice for their occupation may require an adult voice case history.
3. Individuals with chronic voice conditions, vocal nodules, polyps, or other vocal pathologies can benefit from providing an adult voice case history to aid in diagnosis and treatment planning.

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What is adult voice case history?

Adult voice case history is a detailed record of a person's medical history regarding their voice and vocal health.

Who is required to file adult voice case history?

Adults who have concerns or issues related to their voice and vocal health are required to file adult voice case history.

How to fill out adult voice case history?

Adults can fill out adult voice case history by providing accurate information about their medical history, vocal habits, any current voice problems, and any treatments or therapies they have undergone.

What is the purpose of adult voice case history?

The purpose of adult voice case history is to provide healthcare providers with a comprehensive understanding of a person's voice and vocal health, which can help in diagnosis and treatment.

What information must be reported on adult voice case history?

Information such as past voice problems, vocal habits, medical conditions affecting the voice, and any treatments or therapies received must be reported on adult voice case history.