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Health History Questionnaire (PATIENTS UNDER 18 YEARS OLD)Outpatient Information Last Name First Middle Patient prefers to be called Birth Date Age m Male m Female Address City Zip Best Phone Patient
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How to fill out patients under 18 years
How to fill out patients under 18 years
01
Ensure that you have all the necessary forms and documents required for patient registration.
02
Collect the patient's personal information, including name, date of birth, and contact details.
03
Ask for the parent or guardian's information, including their name, contact details, and relationship to the patient.
04
Verify the age of the patient to confirm that they are under 18 years old.
05
Record any medical history or pre-existing conditions of the patient.
06
Obtain informed consent from the parent or guardian before proceeding with any medical procedures or treatments.
07
Follow any specific guidelines or protocols for treating patients under 18 years, if applicable.
08
Keep confidentiality of the patient's information, as per legal requirements.
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Ensure that the patient and their parent or guardian are aware of any follow-up appointments or instructions for further care.
Who needs patients under 18 years?
01
Pediatricians and other physicians specializing in child healthcare.
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Hospitals and medical clinics that offer services specifically for children and adolescents.
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Schools and educational institutions that require medical information for students under 18 years.
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Research institutions studying child health and development.
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Parents or guardians seeking medical care for their children.
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Government agencies or social services involved in child welfare and healthcare.
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