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NAME DOB TODAY IS DATE Dominant Hand left right Height Weight CHIEF COMPLAINT What are we seeing you for? Left Symptoms: PRESENT ILLNESS sickness Date symptoms began: accident Type: work car home
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History and physical is a documentation of a patient's past medical history and current physical examination.
Healthcare providers, such as doctors, nurses, and physician assistants, are required to file history and physical reports for their patients.
History and physical forms can be filled out by conducting a thorough interview with the patient about their medical history and performing a comprehensive physical examination.
The purpose of history and physical is to provide healthcare providers with essential information about a patient's health status, which helps in the diagnosis and treatment of medical conditions.
Information such as medical history, current medications, allergies, past surgeries, family history, vital signs, and physical examination findings must be reported on history and physical forms.
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