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GORDON L. PARTISAN, DDS, ADC RAN G. SHAH, DDS, MS, MSD Date: 11859 WILSHIRE BLVD., SUITE 550, LOS ANGELES, CALIFORNIA 90025 Patient Information Patient Name: Preferred Name: Title Last First MI Address:
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How to fill out medical history yesnodoc
01
Gather all relevant medical documents and reports.
02
Start by providing personal information such as name, date of birth, and contact details.
03
Specify any pre-existing medical conditions or allergies you may have.
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List any medications you are currently taking, including dosage and frequency.
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Provide details of your past surgeries or hospitalizations.
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Include information about your family medical history.
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Answer any specific questions asked in the medical history form.
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Review the completed form for accuracy and completeness before submitting.
Who needs medical history yesnodoc?
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Anyone seeking medical treatment or consultation needs to fill out a medical history form.
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Medical professionals, including doctors, nurses, and specialists, require a patient's medical history to make informed decisions.
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Hospitals, clinics, and other healthcare facilities use medical history to provide appropriate and personalized care.
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Individuals applying for health insurance or participating in clinical trials may need to provide their medical history.
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Emergency responders and paramedics may need access to a patient's medical history in case of an emergency.
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