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History and Physical Exam Form Name: Date: ISN: VS: DOB: AGE: Gender: Male / Female Complaint: Acute: PMH: DM HAN STD TB Hosp: Sure: Allergies: Chronic: Medications: Sochi: BP: Pulse: Resp: Temp:
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History and physical exam is a standard medical assessment performed by healthcare providers to gather information about a patient's medical history and current health status.
History and physical exams are typically performed by healthcare providers such as doctors, nurses, or physician assistants.
History and physical exams are filled out by conducting a thorough medical history interview with the patient and performing a comprehensive physical examination.
The purpose of history and physical exam is to assess a patient's overall health, identify any underlying medical conditions, and establish a baseline for future comparison.
Information reported on history and physical exam includes medical history, current medications, allergies, vital signs, physical examination findings, and preliminary diagnosis.
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