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ADOLESCENT HEALTH HISTORY QUESTIONNAIRE (ages 1317) Please answer these questions privately. Give this form to your health care provider, who will be willing to discuss it with you. This information
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The adolescent health history questionnaire is a form that collects information about a young person's medical history and current health status.
Adolescents and their guardians or parents are usually required to fill out and submit the adolescent health history questionnaire.
The questionnaire can be filled out by providing accurate information about the adolescent's past and current health conditions, medications, allergies, and any other relevant information.
The purpose of the adolescent health history questionnaire is to help healthcare professionals understand the adolescent's health background and provide appropriate care and treatment.
Information such as medical conditions, surgeries, medications, allergies, family health history, immunizations, and lifestyle habits may need to be reported on the adolescent health history questionnaire.
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