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SCOTCH PLAINS-FANWOOD PUBLIC SCHOOLS HEALTH PHYSICAL DEVELOPMENT HISTORY This record is to be filled in by the parent or guardian and provided for the school nurse. LAST NAME FIRST NAME INITIAL BIRTHDATE

How to fill out health history form

How to fill out a health history form:

1. Start by carefully reading the instructions provided on the form. This will help you understand the purpose and specific requirements of the document.
2. Begin with the personal information section. Fill in your full name, date of birth, address, contact details, and any other requested information.
3. Move on to the medical history section. Provide details about any existing health conditions, allergies, surgeries, or hospitalizations you have had in the past. Be as accurate and specific as possible.
4. Include information about any medications you are currently taking or have taken in the past. Include the name of the medication, dosage, frequency, and the reason it was prescribed.
5. If applicable, provide details about your family medical history. Include any significant medical conditions that run in your immediate family, such as diabetes, heart disease, or cancer.
6. Be honest and comprehensive while answering lifestyle-related questions. These may inquire about smoking, alcohol consumption, exercise habits, and dietary preferences.
7. Fill in any other sections or questions pertaining to your medical background that are included on the form.
8. Review your responses thoroughly to ensure accuracy and completeness. Double-check for any missing information or mistakes.
9. If you have any concerns or questions, consider consulting a healthcare professional or contacting the entity responsible for the form for guidance.

Who needs a health history form:

1. Individuals visiting a new healthcare provider for the first time are typically required to fill out a health history form. This is because the healthcare provider needs comprehensive information about the patient's medical background to provide accurate diagnosis and treatment.
2. People undergoing medical procedures or surgeries may also be asked to complete a health history form. The information gathered helps the healthcare team better understand the patient's health status and any potential risks or complications that may arise during the procedure.
3. Health history forms may also be necessary when enrolling in certain healthcare programs, applying for insurance, or participating in research studies. These forms ensure that the necessary information is available to make informed decisions related to care, coverage, or study eligibility.

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