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CT PATIENT HISTORY Patient Name: DOB: Weight: Email Address: Cell Phone: What symptoms are you experiencing now? Why has your doctor ordered this exam? Please describe symptoms you are having, including
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Start by opening the website or application where the form is located.
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Look for the section that asks you about your symptoms. It might be labeled as "Symptoms" or "Tell us more about your condition."
03
Read the instructions carefully to understand what information is required.
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Begin filling out the form by listing your symptoms one by one. It's best to be specific and provide accurate descriptions.
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If there is a dropdown menu or checkbox options available, select the ones that correspond to your symptoms. If not, you can type your symptoms directly into a text box.
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Consider including any additional details or factors that may be relevant to your symptoms. For example, when they started or any patterns you have noticed.
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Who needs what symptoms are you:

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Patients: Patients who are seeking medical advice or treatment for their symptoms need to fill out the "What symptoms are you" form. This helps healthcare professionals to understand the patient's condition and provide appropriate recommendations or interventions.
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Caregivers: Caregivers or family members who are assisting someone with their healthcare needs may also be required to fill out the "What symptoms are you" form on behalf of the patient. This ensures that accurate information is provided even if the patient is unable to fill out the form themselves.
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Medical professionals: Doctors, nurses, or other healthcare providers may need to fill out the "What symptoms are you" form during patient assessments or consultations. This allows them to document the patient's symptoms accurately and use the information to make informed decisions regarding diagnosis and treatment.
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The symptoms are related to a person's physical or mental condition.
Individuals who are experiencing symptoms are required to report them.
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Information such as the type of symptoms, severity, and duration must be reported.
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