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CASE DENTAL GROUP Susan Achaean D.D.S, Mort. Beheshtian D.D.S 9381 E. Stockton Blvd #116 Elk Grove, Ca 95624 CONFIDENTIAL HEALTH HISTORY PATIENT NAME: DATE OF BIRTH: I. CIRCLE APPROPRIATE ANSWER (Leave

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How to fill out confidential health history

How to fill out confidential health history:

01

Start by gathering all relevant information about your medical history, including past illnesses, surgeries, medications, and allergies.

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Make sure to include any chronic conditions or ongoing health concerns that might be important for healthcare providers to know.

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Provide details about any current medications, including dosage and frequency.

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Who needs confidential health history:

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Healthcare providers: Confidential health history is essential for healthcare providers to properly assess and diagnose patients, as it provides valuable insights into their medical background and any potential risk factors.

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Overall, filling out a confidential health history form accurately and thoroughly is crucial for both your own healthcare and the smooth communication of information between healthcare providers and other relevant parties.

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