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HEALTH HISTORY Child's Last Name First Middle Address City State Zip Code County Sex (circle) M F Birth Date Age Race Parent/Guardian Name Phone Number Child's Doctor Birthing Hospital Insurance Status:
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How to fill out health history - cantonhealthorg:

01
Start by accessing the cantonhealthorg website.
02
Locate the "Health History" section or tab on the website.
03
Click on the "Health History" section to access the form.
04
Read all the instructions and guidelines provided along with the form.
05
Begin filling out the form by entering your personal information, such as your name, date of birth, and contact details.
06
Provide accurate details about your medical history, including any previous illnesses, surgeries, or chronic conditions you may have had.
07
Answer all the questions on the form honestly and to the best of your knowledge.
08
If you are unsure about any question or need clarification, refer to the guidelines or contact the cantonhealthorg directly for assistance.
09
Once you have completed filling out the health history form, review all the information you have provided to ensure its accuracy.
10
Submit the form either electronically through the website or by printing it out and mailing it to the relevant address provided.

Who needs health history - cantonhealthorg:

01
Individuals seeking medical services or treatment from cantonhealthorg.
02
New patients who are visiting cantonhealthorg for the first time and need to provide their medical history.
03
Existing patients who have experienced changes in their health or medical conditions and need to update their health history with cantonhealthorg.
04
Individuals who are participating in clinical trials or research studies conducted by cantonhealthorg and need to provide their health history information.
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Health history refers to a record of a person's past and present health conditions, treatments, and medications maintained by cantonhealthorg.
All individuals who are seeking healthcare services or participating in programs offered by cantonhealthorg are required to file their health history.
You can fill out your health history form online through the cantonhealthorg website or in-person at one of their healthcare facilities.
The purpose of collecting health history is to better understand an individual's health status, provide appropriate care, and track any changes in their health over time.
Health history typically includes information about past illnesses, surgeries, medications, allergies, family medical history, and lifestyle habits.
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