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NEW INJURY HISTORY CONFIDENTIAL TO REMAIN ON CHART Washington Health System Occupational Medicine 95 Leonard Avenue, Bldg. 1, Suite 401, Washington, Pa 15301 Phone: 7242233528 Fax: 7242292401 Name:

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How to fill out new injury history

How to Fill Out New Injury History:

01

Start by gathering all relevant information about your past injuries. This includes the date of the injury, the type of injury, the body part affected, and any medical treatment received.

02

Use specific and descriptive language when filling out the new injury history form. Instead of simply stating "injured knee," provide details such as "sprained right knee while playing soccer."

03

Be honest and accurate in your responses. It is important to provide a comprehensive and truthful account of your injury history to help healthcare professionals make informed decisions about your healthcare.

04

Include any ongoing or chronic conditions that may be related to previous injuries. This can give healthcare providers a complete picture of your medical history and help them tailor treatment plans accordingly.

05

Review the form thoroughly before submitting it. Double-check for any errors or omissions, and make sure all necessary sections are completed. Incomplete or incorrect information can lead to misunderstandings or delays in your healthcare.

06

Seek guidance from healthcare professionals or support staff if you have any questions or concerns about filling out the new injury history form. They can provide clarification and ensure that you provide the necessary information.

Who Needs New Injury History:

01

Individuals seeking medical treatment: New injury history is essential for individuals who require medical attention. It helps healthcare providers assess the extent of previous injuries and provide appropriate treatment and care.

02

Athletes and sports professionals: Athletes often need to provide a new injury history when joining a new team or participating in competitive events. This information helps coaches and team physicians understand the athlete's injury risks and develop injury prevention strategies.

03

Insurance companies: When applying for insurance, individuals may need to disclose their new injury history. This allows insurance companies to assess the applicant's risk profile and determine necessary coverage and premium rates.

04

Employers: Some job applications or workplace wellness programs may require individuals to provide their new injury history. This information helps employers assess an applicant's physical fitness or determine suitable accommodations for employees with previous injuries.

05

Researchers and healthcare organizations: New injury history may be valuable for research purposes, enabling scientists and healthcare organizations to study injury patterns, develop preventive measures, and improve treatment strategies.

Overall, accurately filling out new injury history forms and providing this information when required is crucial for receiving appropriate medical care, insurance coverage, and employment opportunities.

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What is new injury history?

New injury history is a record of any new injuries that have occurred.

Who is required to file new injury history?

All individuals or entities responsible for providing injury reports are required to file new injury history.

How to fill out new injury history?

New injury history can be filled out by providing details of any new injuries that have occurred.

What is the purpose of new injury history?

The purpose of new injury history is to keep track of any new injuries and ensure that they are properly reported and addressed.

What information must be reported on new injury history?

New injury history must include details of the date, location, type of injury, and any other relevant information.

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