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HEALTH HISTORY (PLEASE PRINT) NameLastFirstHave you had? (circle choice’M. I. N0YesDOB / / Have you had? (circle choice)Recurrent HeadacheAsthmaThyroid DisorderEpilepsy/SeizuresHoarsenessDizziness/Fainting
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Recurrent headache is a condition characterized by persistent or episodic head pain that occurs frequently over a period of time.
Patients or individuals experiencing recurrent headache are required to seek medical attention and may be required to provide documentation or reports to healthcare professionals.
To fill out information on recurrent headache, individuals should accurately describe their symptoms, frequency, duration, triggers, and any other relevant details to healthcare providers.
The purpose of addressing recurrent headache is to diagnose the underlying cause, provide appropriate treatment, and improve the quality of life for individuals suffering from this condition.
Information to be reported may include symptoms, triggers, frequency, duration, medical history, family history, and any other relevant details.
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