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Carmel Wellness Center Yang Health Center Acupuncture and Spine Care Patient Name: Information Taken By Date Family and Personal Medical History (General Health): Mothers side: Fathers side: Do you

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Step 1: Obtain the necessary forms from the Yang Health Center.

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Step 2: Gather all relevant medical records and documentation.

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Step 3: Fill out the personal information section, including your name, date of birth, and contact details.

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Step 4: Provide information about your medical history, including any past illnesses, surgeries, or allergies.

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Step 5: Answer all specific questions regarding your current health condition, symptoms, and any concerns you may have.

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Step 6: If applicable, provide details about your lifestyle habits, such as exercise routine and dietary preferences.

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Step 7: Double-check all the information filled to ensure accuracy and completeness.

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Step 8: Submit the completed exam form to the front desk staff at the Yang Health Center.

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The exam is suitable for individuals of all ages, from children to older adults.

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