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Majors & co. physical therapy patient health history form Name (First, Last): Date of Birth: Primary Care Physician: Today's Date: Please complete each section below to the best of your knowledge
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Start by gathering all the necessary personal information, such as your name, address, contact details, and date of birth.
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In the next section, you will be asked to disclose any family medical history, including any hereditary conditions or diseases that may run in your family.
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