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ANNUAL HEALTH HISTORY 20152016 Student Birthdate Grade Does your child have: YES NO Asthma? List medications used at home List medications needed at school Diabetes? List Insulin used at home List
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Who needs annual health history 2015-2016?

01
Any individual who has visited a healthcare provider within the designated time period and is required to update their medical records.
02
Students or employees who are enrolling in courses or participating in activities that necessitate a comprehensive health history form.
03
Individuals applying for certain jobs or volunteer positions where health information is necessary for evaluation and risk assessment.

Point by point guide on how to fill out annual health history 2015-2016:

01
Begin by carefully reading the instructions provided with the annual health history form. Familiarize yourself with the sections and questions that need to be completed.
02
Start by providing your personal information such as your full name, date of birth, contact details, and any identification numbers required (e.g., student ID, employee number).
03
Proceed to complete the section regarding your medical history. Answer each question accurately and provide any necessary details. If you are unsure about any information, consult your healthcare provider or refer to your medical records.
04
The form may include sections on previous illnesses, surgeries, or hospitalizations. If you have had any of these experiences, provide the relevant dates, details of procedures or treatments, and the names of any medical professionals involved.
05
Allergies are an essential aspect of your health history. Make sure to include any known allergies, whether they are related to medications, food, environmental factors, or other substances. Specify the severity of your allergies if applicable.
06
Medications and supplements play a crucial role in your health. List all current medications you are taking, including over-the-counter drugs and herbal remedies. Provide the names, dosage, frequency, and the reason for taking each medication.
07
If you have any chronic conditions or ongoing health issues, dedicate a separate section to describe these in detail. Include the diagnosis, treatments, and any relevant healthcare providers involved in your care.
08
In the family history section, record information about any major medical conditions that run in your immediate family, such as heart disease, cancer, diabetes, or genetic disorders.
09
Mental health, substance abuse history, and sexual health may also be included in the annual health history form. Answer these questions honestly and openly, as they are essential for a comprehensive evaluation of your wellbeing.
10
Review your completed form for accuracy and completeness. Ensure you have answered all required questions and provided all necessary information. Any missing or unclear responses may delay the processing of your health history.
11
Once you are satisfied with your answers, sign and date the form as required. It might be necessary to obtain a witness signature or have the form notarized, depending on the specific instructions provided.
Remember that annual health history forms are critical for healthcare providers and institutions to maintain accurate records and ensure appropriate care. By completing the form thoroughly and honestly, you contribute to the overall management of your health and well-being.
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Annual health history is a report that details an individual's health information for the past year.
Employees and individuals are required to file their annual health history.
Annual health history can be filled out online or on paper forms provided by the employer or healthcare provider.
The purpose of annual health history is to track and monitor an individual's health status over time.
Information such as medical conditions, medications, allergies, surgeries, and doctor visits must be reported on annual health history.
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