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450 Stanley Street San Francisco, CA 94117-1079 3-Hole 1/4 4 1/4 c-to-c HISTORY & PHYSICAL (SHORT FORM) Page 1 of 1 PROPOSED SURGERY/PROCEDURE: SURGICAL/PROCEDURAL INDICATIONS AND PRESENT ILLNESS:
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What is history physical short form?
The history physical short form is a condensed version of a patient's medical history and physical examination.
Who is required to file history physical short form?
History physical short forms are typically filled out by healthcare providers or medical professionals.
How to fill out history physical short form?
History physical short forms should be filled out accurately and completely, documenting relevant medical history and physical exam findings.
What is the purpose of history physical short form?
The purpose of a history physical short form is to provide a brief summary of a patient's medical history and current physical condition.
What information must be reported on history physical short form?
Information such as medical history, current medications, allergies, past surgeries, and any current health concerns should be reported on a history physical short form.
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