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Please circle what symptoms you have experienced in the last 3 months. Patient Name: Date of Birth: General Fatigue Fever Trouble Sleeping Weight Gain Weight Loss Skin Brittle Nails Coarse Hair Skin

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How to fill out please circle what symptoms

To fill out the "Please circle what symptoms" form, follow these guidelines:

01

Read the instructions: Start by carefully reading the form's instructions. It will provide you with specific details on how to proceed.

02

Understand the purpose: The "Please circle what symptoms" form is typically used to gather information about the symptoms someone may be experiencing. Its purpose is to ensure accurate documentation of symptoms for further evaluation or diagnosis.

03

Identify the symptoms: Go through the list of symptoms provided on the form. Carefully read each one and select the appropriate options by circling them. Ensure that you only circle the symptoms you are experiencing.

04

Seek assistance, if needed: If you are unsure about any particular symptom or have difficulty understanding it, don't hesitate to seek assistance. Reach out to a healthcare professional or someone knowledgeable who can help clarify any uncertainties.

05

Double-check: Before submitting the form, review your selections to ensure accuracy. Verify that you have circled the correct symptoms and haven't missed any crucial information.

Who needs to fill out the "Please circle what symptoms" form may vary depending on the context. Generally, anyone who is experiencing symptoms and seeking medical care or assessment might be required to fill out this form. It can be utilized in healthcare settings, doctor's offices, hospitals, research studies, or when seeking professional medical advice. The form aims to gather relevant information efficiently, allowing healthcare providers to better understand an individual's symptoms and make informed decisions regarding their healthcare.

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