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MEDICAL HISTORY & PHYSICAL EXAMINATION 2015 2016 Date of Physical What Sport(s) do you play: Students Name Birth Day Grade 201516 Age: Yes Yes No No No No No No No No No Yes Yes Yes No No No No No

How to fill out medical history physical examination

1. When filling out a medical history physical examination, it is important to be thorough and provide accurate information. Start by gathering all necessary documents and forms that need to be completed.
2. Begin by providing your personal information such as your full name, date of birth, contact information, and any identification numbers requested by the healthcare provider.
3. Next, you will be asked to provide details about your medical history. This includes any past illnesses, surgeries, or serious medical conditions you have experienced. It is important to mention any chronic diseases, allergies, or ongoing treatments you are currently undergoing.
4. The medical history form will also inquire about your family medical history. This involves documenting any genetic or hereditary conditions that may be relevant to your health.
5. It is crucial to list all medications, vitamins, and supplements you are currently taking. Include the dosage and frequency of each medication to ensure accuracy.
6. Be prepared to answer questions about your lifestyle habits, such as smoking, alcohol consumption, exercise routine, and diet. These details help the healthcare provider assess your overall health and identify potential risk factors.
7. In addition to medical information, it is essential to disclose any psychological or mental health conditions you may have, as they can also impact your physical well-being.
8. Lastly, you may be required to sign and date the form, acknowledging the accuracy and completeness of the information provided.

As for who needs a medical history physical examination, it is generally required for individuals visiting a new healthcare provider or undergoing certain medical procedures. This examination helps the healthcare provider understand your medical background, assess your current health status, and make informed decisions regarding your care. Additionally, it is beneficial for individuals with chronic conditions who require regular check-ups to keep their medical history up to date.

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What is medical history physical examination?

Medical history physical examination is a process where a healthcare provider gathers information about a patient's past medical conditions, surgeries, medications, and family medical history. It also includes a physical assessment of the patient's overall health.

Who is required to file medical history physical examination?

Medical history physical examination is typically required for individuals seeking medical treatment, undergoing surgery, applying for certain jobs, participating in athletic activities, or enrolling in educational programs.

How to fill out medical history physical examination?

To fill out a medical history physical examination, individuals should provide accurate information about their medical history, current medications, allergies, and any previous surgeries. A healthcare provider will typically assist in conducting the physical examination.

What is the purpose of medical history physical examination?

The purpose of a medical history physical examination is to assess a patient's overall health, identify any potential risk factors or underlying medical conditions, and help healthcare providers make informed decisions about treatment options.

What information must be reported on medical history physical examination?

Information that must be reported on a medical history physical examination includes past medical conditions, surgeries, medications, allergies, family medical history, lifestyle habits, and any current symptoms or concerns.