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BERTRAND CHAFFEE HOSPITAL Rehabilitation Services Patient History PLEASE ANSWER THE QUESTIONS BELOW TO THE BEST OF YOUR ABILITY: Name: Primary Physician: Referring Physician: Other specialists seen:
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What is patient history form?
A patient history form is a document that collects information about a patient's medical history, including past illnesses, surgeries, medications, and family medical history.
Who is required to file patient history form?
Healthcare providers are typically required to have patients fill out a patient history form.
How to fill out patient history form?
Patients can fill out a patient history form by providing accurate and detailed information about their medical history, current medications, and any relevant family medical history.
What is the purpose of patient history form?
The purpose of a patient history form is to provide healthcare providers with essential background information about a patient's health, which can help in diagnosing and treating medical conditions.
What information must be reported on patient history form?
Information such as past illnesses, surgeries, medications, allergies, family medical history, and any current symptoms should be reported on a patient history form.
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