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HEALTH HISTORY QUESTIONNAIRE (Initial Screen)PERSONAL INFORMATION: Clients Name: Age: Date of Birth: Today's date: Address Email: Home phone cell phone Other Attending Physician or other: Clinic:
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What is initial screen?
Initial screen is the first form or document that needs to be filled out in a particular process or procedure.
Who is required to file initial screen?
Only individuals designated by the organization or authority in charge are required to file the initial screen.
How to fill out initial screen?
The initial screen can usually be filled out electronically or manually, following the specific instructions provided by the organization or authority.
What is the purpose of initial screen?
The purpose of the initial screen is to gather basic information about a particular subject, case, or project in order to initiate further steps or actions.
What information must be reported on initial screen?
The initial screen typically requires basic information such as name, contact details, brief description of the subject, and any other relevant details.
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