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Utah Department of Health health.Utah.gov/ genomicsFamily Health History ToolkitMAKE FAMILY HEALTH HISTORY A TRADITION health.Utah.gov/ genomicsContents Family Health History Toolkit This toolkit

How to fill out make family health history

How to fill out make family health history:

1. Start by gathering information about your immediate family members such as parents, siblings, and children. Note down their names, dates of birth, and any significant medical conditions or diseases they have or had.
2. Move on to collecting information about your extended family members including grandparents, aunts, uncles, and cousins. Record their names, dates of birth, and any relevant health information.
3. It is important to include both the physical and mental health history of your family members. Ask about conditions such as heart disease, diabetes, cancer, mental illnesses, and any other significant health issues.
4. Take note of any surgeries or medical procedures that your family members have undergone. This can include surgeries related to heart, cancer, reproductive health, and any other relevant procedures.
5. Inquire about lifestyle factors that may impact health, such as smoking, alcohol or drug use, and exercise habits. These can be important factors to consider when assessing your risk for certain conditions.
6. Keep the family health history document updated regularly. As new information or diagnoses occur, make sure to include them in your records.

Who needs to make family health history:

1. Everyone can benefit from creating a family health history, as it provides valuable information about potential risks and inherited conditions. This includes individuals of all ages, from children to adults.
2. Individuals planning to start a family may find making a family health history particularly important, as it can help identify any genetic conditions that may be passed on to their children.
3. People with a personal or family history of certain medical conditions may also benefit from creating a family health history. This can help them understand their own risk factors and share this information with healthcare providers for better prevention and management strategies.

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What is make family health history?

Make family health history is a record of health conditions and diseases that have affected your family members.

Who is required to file make family health history?

Everyone is encouraged to create and maintain their own family health history, but it is especially important for individuals with a family history of certain medical conditions or diseases.

How to fill out make family health history?

You can create a family health history by gathering information about the health conditions and diseases that have affected your close relatives and organizing it in a document or digital format.

What is the purpose of make family health history?

The purpose of family health history is to help healthcare providers assess an individual's risk for certain medical conditions, determine appropriate screening or prevention measures, and make more informed treatment decisions.

What information must be reported on make family health history?

Family health history should include details about the health conditions, diseases, and age of onset for individuals in your family, along with any additional relevant information.