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MEDICAL HISTORY AND PHYSICAL Parent should complete this side of form PRIOR to appointment with physician. STUDENT NAME DATE OF BIRTH GRADE for school year 2015 2016 PARENT/GUARDIAN NAME ADDRESS PHONE

How to fill out medical history and physical

How to fill out medical history and physical

1. Step 1: Start by gathering all relevant medical records, such as previous medical history, test results, and any prescribed medications.
2. Step 2: Begin the medical history and physical form by providing your personal information, including your name, date of birth, and contact details.
3. Step 3: Fill out the sections related to your medical history, including any past diseases, surgeries, allergies, and vaccinations.
4. Step 4: Provide details about your family medical history, mentioning any hereditary conditions or diseases.
5. Step 5: Answer questions about your lifestyle habits, such as smoking, alcohol consumption, exercise routine, and diet.
6. Step 6: Move on to the physical examination section, where you may need assistance from a healthcare professional.
7. Step 7: Provide accurate measurements such as height, weight, blood pressure, and pulse rate.
8. Step 8: Answer questions related to your current health status, any ongoing medications, and recent medical visits.
9. Step 9: Review the filled-out form for any errors or missing information.
10. Step 10: Sign and date the completed medical history and physical form before submitting it to your healthcare provider.

Who needs medical history and physical?

1. Medical history and physical forms are typically required for individuals seeking medical care or undergoing medical procedures.
2. It is necessary for new patients visiting a healthcare provider for the first time.
3. Medical professionals need access to a patient's medical history and physical to assess their overall health and make accurate diagnoses.
4. People planning to undergo surgeries, medical treatments, or starting a new medication regimen may be required to provide their medical history and physical.
5. Medical history and physical forms are also necessary for insurance purposes and to determine eligibility for certain health programs or clinical trials.

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What is medical history and physical?

Medical history and physical is a record of a person's past and current health conditions, medications, surgeries, and any other relevant medical information.

Who is required to file medical history and physical?

Medical history and physical is usually required to be filed by patients before undergoing medical procedures or treatments.

How to fill out medical history and physical?

Medical history and physical forms can be filled out by providing accurate and detailed information about your medical history, current medications, allergies, and surgeries.

What is the purpose of medical history and physical?

The purpose of medical history and physical is to provide healthcare providers with essential information about a patient's health status to ensure safe and effective treatment.

What information must be reported on medical history and physical?

Medical history and physical forms typically require information about current health conditions, past surgeries, allergies, medications, family medical history, and lifestyle habits.