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FORM 14 PLEASE RETURN ORIGINAL TO THE ATHLETIC TRAINING DEPARTMENT 20122013 LINCOLN MEMORIAL UNIVERSITY ATHLETIC TRAINING DEPARTMENT MEDICAL HISTORY QUESTIONNAIRE FOR THE NEW STUDENTATHLETE UNDER
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How to fill out a medical history questionnaire:

01
Start by ensuring that you have all the necessary information at hand, such as your personal details, previous medical conditions, and current medications.
02
Read each question carefully and answer accurately. It is essential to provide complete and truthful information to help healthcare professionals understand your medical background.
03
Be thorough when describing any previous medical conditions or surgeries. Include the dates, names of healthcare providers, and any relevant details.
04
Similarly, provide a comprehensive list of medications you are currently taking, including dosage and frequency. This information helps doctors identify any potential drug interactions or side effects.
05
If there are any family medical histories of illnesses or genetic conditions, make sure to include them as well. These details can play a significant role in assessing your own risk factors.
06
Take your time while filling out the questionnaire. It is essential to be accurate, so consider reviewing your answers before submitting the form.

Who needs a medical history questionnaire?

01
Patients visiting a new healthcare provider: When visiting a new doctor or healthcare facility, they typically ask for a medical history questionnaire. This information helps them understand your medical background and provide appropriate care.
02
Individuals participating in medical research studies: Researchers often require participants to fill out medical history questionnaires to gather data and examine the correlations between specific medical conditions.
03
Individuals undergoing surgery or certain medical procedures: Before any surgery or procedure, medical professionals need to evaluate your medical history to safeguard your health. The questionnaire helps them identify any potential risks or complications.
Overall, the medical history questionnaire serves as a crucial document to provide accurate information about your medical background. It helps healthcare professionals make informed decisions regarding your care and treatment.
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The medical history questionnaire is used to gather information about a person's past and current health conditions, medications, allergies, surgeries, and family history.
Anyone undergoing a medical evaluation or treatment may be required to fill out a medical history questionnaire.
To fill out a medical history questionnaire, one must provide accurate and detailed information about their health history as requested on the form.
The purpose of the medical history questionnaire is to help healthcare providers gain a better understanding of the patient's health status and make informed decisions about their care.
Information that must be reported on a medical history questionnaire includes past and current health conditions, medications, allergies, surgeries, and family medical history.
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