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HISTORY & PHYSICAL EXAMINATION (Confidential Record) Last Name First Middle Age Sex M F Referred to Dr. Quinn By: REASON FOR VISIT (Details Please) PREVIOUS SURGERIES: HOSPITALIZATIONS/MEDICAL PROBLEMS/
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History and physical examination is a medical evaluation conducted by a healthcare provider to assess a patient's overall health condition and medical history.
Healthcare providers such as doctors, nurses, or physician assistants are required to conduct and file history and physical examinations for their patients.
To fill out a history and physical examination, a healthcare provider must gather information about the patient's medical history, perform a physical exam, and document their findings in a standardized form.
The purpose of history and physical examination is to provide healthcare providers with essential information about a patient's health status, which can help in diagnosing medical conditions and creating treatment plans.
The history and physical examination report should include details about the patient's current symptoms, past medical history, medications, allergies, family history, and findings from the physical examination.
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