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Rev. 11/12-Page 1 of 4 NEW STUDENT MEDICAL HISTORY AND PHYSICAL EXAMINATION Lawrence University Health Services 711 E. Bold Way Appleton, WI 54911?0599 Phone: 920?832?6574 Fax: 920?832?7488 Wisconsin

How to fill out medical history and physical

How to fill out medical history and physical:

1. Start by gathering all relevant medical documents and records such as previous medical reports, laboratory results, and prescription history.
2. Begin with personal information such as name, date of birth, contact details, and emergency contact information.
3. Provide details about your current health status including any existing medical conditions, allergies, or chronic illnesses.
4. Mention your family medical history, specifically any genetic conditions or diseases that run in your family.
5. List all medications you are currently taking, including dosage and frequency.
6. Provide a detailed account of your surgical and medical history, including any previous hospitalizations or procedures.
7. Mention any significant lifestyle factors such as smoking, alcohol consumption, or drug use.
8. Include information about your immunization history, including any past vaccinations or boosters.
9. Mention any recent injuries or accidents and the treatments received.
10. Provide details about your mental health history, including any history of anxiety, depression, or other psychological disorders.

Who needs medical history and physical:

1. Individuals who are seeking medical care from a new healthcare provider or specialist. The medical history and physical provide essential information for healthcare professionals to better understand the patient's health status.
2. Patients who are scheduled for surgeries or procedures may be required to undergo a medical history and physical examination to assess their overall health and identify any potential risks.
3. Employers may request a medical history and physical for pre-employment screening or for determining an individual's ability to perform specific job duties safely.
4. Medical researchers and scientists may require medical history and physical information as part of their studies to gather data on different health conditions, treatments, and outcomes.
5. Insurance companies may request medical history and physical information when processing claims or determining eligibility for coverage.
6. Individuals who want to have a comprehensive understanding of their health and want to proactively manage their well-being may choose to maintain an up-to-date medical history and physical record.

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What is medical history and physical?

Medical history and physical is a document that records an individual's past medical conditions, surgeries, allergies, medications, and current health status. It also includes a physical examination performed by a healthcare provider.

Who is required to file medical history and physical?

Medical history and physical is usually required to be filed by individuals seeking medical treatment, undergoing surgery, or participating in certain activities such as sports or employment with physical demands.

How to fill out medical history and physical?

To fill out medical history and physical, one should provide accurate and detailed information about their medical history, including any previous illnesses, surgeries, medications, allergies, and current health status. A healthcare provider will typically assist in performing a physical examination.

What is the purpose of medical history and physical?

The purpose of medical history and physical is to provide healthcare providers with essential information about an individual's health to assist in diagnosis, treatment planning, and monitoring of their health over time.

What information must be reported on medical history and physical?

Information that must be reported on medical history and physical includes past medical conditions, surgeries, medications, allergies, family medical history, current health status, and results of a physical examination.