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HEALTH SERVICES POLICY & PROCEDURE MANUAL North Carolina Department Of Correction Division Of Prisons SECTION: Assessment of Patient POLICY # A 2 PAGE 1 of 22 SUBJECT: Intake Physical Exam and PLEAT

How to fill out intake physical exam and

How to fill out an intake physical exam:

1. Gather all necessary documents: Before starting the intake physical exam, make sure you have all the required documents, such as medical history forms and previous test results.
2. Provide accurate personal information: Begin by filling out your personal information accurately, including your name, date of birth, address, and contact details.
3. Answer medical history questions: The intake physical exam will typically include questions about your medical history. Be thorough and honest while providing information about any previous medical conditions, surgeries, allergies, medications, or family history of illnesses.
4. List current medications: Mention all the medications you are currently taking, including prescription drugs, over-the-counter medications, and supplements. Include the dosage and frequency of use for each.
5. Report any ongoing symptoms: If you are experiencing any ongoing symptoms or health concerns, provide a detailed description of the symptoms, their duration, and any triggers that may exacerbate them.
6. Provide vaccination history: Include information about your vaccination history, including the dates of administration and the specific vaccines received.
7. Mention lifestyle habits: The intake physical exam might also inquire about your lifestyle habits, such as smoking, alcohol consumption, exercise routine, and diet. Be honest and provide accurate information.
8. Discuss any current health goals: If you have any specific health goals or concerns, mention them. This could include weight management, stress reduction, or improving overall fitness.

Who needs an intake physical exam?

1. New patients: Individuals who are visiting a healthcare provider for the first time often need to undergo an intake physical exam. This helps the healthcare provider gain a comprehensive understanding of their medical history and current health status.
2. Individuals changing healthcare providers: When switching healthcare providers, it is recommended to have an intake physical exam. This allows the new healthcare provider to assess the patient's overall health and establish a baseline for future care.
3. Annual check-ups: Many people choose to have an annual physical exam to monitor their health and detect any potential issues before they become serious. This is especially important for individuals with chronic health conditions or a family history of certain diseases.
4. Pre-employment or school requirements: Some employers or educational institutions may require individuals to undergo an intake physical exam as part of the admission or employment process. This helps ensure that the individual is in good health and able to meet the physical demands of the job or educational program.
5. Insurance purposes: Some insurance companies require an intake physical exam before providing coverage. This helps evaluate the overall health of the individual and determine their insurance premium.

Note: The need for an intake physical exam can vary depending on individual circumstances and healthcare provider requirements. It is always best to consult with a healthcare professional or refer to specific guidelines to determine whether an intake physical exam is necessary.

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What is intake physical exam and?

Intake physical exam is a comprehensive evaluation of an individual's overall health status conducted at the beginning of a medical treatment or program.

Who is required to file intake physical exam and?

Anyone undergoing medical treatment or program may be required to file intake physical exam.

How to fill out intake physical exam and?

To fill out intake physical exam, one must provide accurate and detailed information about their medical history, current symptoms, and any previous treatments.

What is the purpose of intake physical exam and?

The purpose of intake physical exam is to assess the individual's health status, identify any underlying conditions, and create a baseline for future monitoring.

What information must be reported on intake physical exam and?

Information such as current medications, allergies, family history of illnesses, lifestyle habits, and any recent health changes must be reported on intake physical exam.