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Confidential Adult Patient Health History Your current physical health is Good Fair Poor My last doctor's visit was (month/year) YES NO Are you currently under the care of a physician? If yes, please

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What is adult health history?

Adult health history is a record of an individual's past and current health conditions, illnesses, surgeries, medications, allergies, and family medical history.

Who is required to file adult health history?

Adults are typically required to file their own adult health history, but in some cases, legal guardians or healthcare proxies may need to submit the information on behalf of the individual.

How to fill out adult health history?

Adults can fill out their adult health history by providing accurate and detailed information about their medical background, including dates of diagnoses, treatments, and outcomes.

What is the purpose of adult health history?

The purpose of adult health history is to provide healthcare professionals with a comprehensive overview of an individual's health status, which can help inform medical decisions and treatment plans.

What information must be reported on adult health history?

Adult health history typically includes information about medical conditions, surgeries, medications, allergies, and family medical history.

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