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History and Physical (please print) Patient Name: Height: Weight: List Present Medication/Supplements and dosages: Any Medication Allergies: Yes or No Explain: Latex Allergy: Yes or No Have you been
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How to fill out history and physical please
How to fill out history and physical please
01
To fill out a history and physical form, follow these steps:
1. Begin with the patient's personal information such as name, date of birth, and contact details.
2. Obtain the patient's medical history, including previous illnesses, surgeries, and any ongoing medical conditions.
3. Document the patient's current medications, including the dosage and frequency of each medication.
4. Perform a thorough physical examination of the patient, noting any abnormalities or specific observations.
5. Record vital signs such as blood pressure, heart rate, temperature, and respiratory rate.
6. Document any allergies or known drug sensitivities.
7. Assess the patient's mental and emotional well-being, including any history of psychiatric disorders.
8. Include a family medical history, noting any hereditary conditions.
9. Summarize the patient's lifestyle habits, such as exercise, diet, smoking, and alcohol consumption.
10. Conclude with a summary of your findings and recommendations for further investigations or treatments.
Who needs history and physical please?
01
A history and physical form is typically needed for the following individuals:
- New patients visiting a healthcare provider for the first time.
- Individuals undergoing pre-employment or pre-operative medical assessments.
- Patients admitted to hospitals or seeking specialized medical care.
- Individuals participating in sports or athletic activities that require a medical clearance.
- Patients involved in legal cases or insurance claims.
- Any person requiring a comprehensive assessment of their overall health and medical background.
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What is history and physical please?
History and physical is a medical record that documents a patient's past medical history, current symptoms, and physical examination findings.
Who is required to file history and physical please?
Healthcare providers, such as doctors, nurses, and physician assistants, are required to file history and physical records for patients.
How to fill out history and physical please?
History and physical forms are typically filled out by healthcare providers during a patient's visit, by asking the patient questions and conducting a physical examination.
What is the purpose of history and physical please?
The purpose of history and physical is to provide an overview of a patient's health status, which helps in diagnosis and treatment decisions.
What information must be reported on history and physical please?
History and physical should include details about the patient's medical history, current symptoms, medications, allergies, and findings from the physical examination.
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