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HSC Health History Questionnaire Personal Information Name: Date: Address: Primary Phone: Email: Date of Birth: Occupation: Gender: Height: Weight: Please Circle One: Student Administration Faculty/Staff
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How to fill out hsc health history questionnaire

How to fill out hsc health history questionnaire
01
Read the HSC health history questionnaire carefully.
02
Start by providing your personal information such as name, date of birth, and contact details.
03
Move on to the medical history section and answer the questions accurately.
04
Provide information about any existing medical conditions, surgeries, allergies, and medications you are currently taking.
05
Answer the questions regarding your family's medical history.
06
If you have any ongoing health issues or concerns, mention them in the appropriate section.
07
Complete the questionnaire by signing and dating it.
08
Submit the filled-out HSC health history questionnaire as per the provided instructions.
Who needs hsc health history questionnaire?
01
Anyone who is undergoing a health evaluation or seeking medical treatment at HSC (Health Sciences Centre) needs to fill out the HSC health history questionnaire.
02
Patients who are visiting an HSC facility for the first time or have any changes in their medical history must also complete the questionnaire.
03
The HSC health history questionnaire is necessary to ensure healthcare providers have accurate and up-to-date information about a patient's health condition.
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