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MEDICAL HISTORY 1) Is there any chance you could be pregnant? Y N 2) Please describe the reason(s) for today's exam. List any symptoms you have. (Please circle area of concern on diagram) 3) What

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Medical history - bellevue is a record of a person's past and present health conditions, treatments, and medications.

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All patients are required to file medical history - bellevue before receiving medical treatment.

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Medical history - bellevue must include details about past and current illnesses, surgeries, medications, allergies, and family medical history.

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