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US Lacrosse PARTICIPANT MEDICAL HISTORY NAME: LAST FIRST DATE OF BIRTH (M/D/Y): ADDRESS: CITY: STATE: ZIP: HOME PHONE: CELL PHONE: GENDER: SCHOOL GRADE: PREFERRED EMAIL: PLAYER US MEMBER NUMBER: MEMBER
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01
Collect the necessary forms and medical history questionnaires from the participant.
02
Ensure that the participant understands the purpose and importance of filling out the medical history accurately.
03
Provide a quiet and comfortable space for the participant to fill out the forms.
04
Instruct the participant to fill out the forms accurately and truthfully, providing all relevant medical information.
05
If the participant is unsure about any question or requires clarification, provide assistance or ask a healthcare professional to address their concerns.
06
Review the completed medical history forms for completeness and legibility.
07
Keep the participant's medical history confidential and stored securely.
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Ensure that the medical history forms are easily accessible and available for healthcare professionals involved in the participant's care.

Who needs participant medical history?

01
Healthcare providers and medical professionals who are treating the participant require their medical history to assess their health condition accurately.
02
Clinical researchers may need participant medical history to evaluate eligibility for research studies or to identify potential confounding factors in their study population.
03
Emergency medical personnel may need access to a participant's medical history in case of an emergency or acute medical situation.
04
Insurance companies may request participant medical history to determine coverage eligibility or make decisions regarding claims.
05
Employers may require participant medical history for occupational health and safety assessments, especially for physically demanding job roles.
06
Government agencies and regulatory bodies may require participant medical history as part of the application process for certain licenses or permits.
07
Educational institutions and sports organizations may ask for participant medical history to ensure the individual's health and safety during physical activities.
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Participant medical history includes information about a person's past illnesses, injuries, surgeries, medications, and family medical history.
Participants are required to file their own medical history.
Participants can fill out their medical history form by providing accurate and complete information about their health background.
Participant medical history helps healthcare providers assess the individual's health status, determine appropriate treatments, and identify any potential health risks.
Participants must report details such as past illnesses, surgeries, medications, allergies, family medical history, and lifestyle habits.
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