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Dental Assisting Program Admission Application Packet (Adults) You've probably watched the enrollment orientation and decided this is the program for you. Were excited to have you in our program!
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How to fill out medical history form

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Step 1: Start by providing your personal information such as name, date of birth, and contact details.
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Step 2: Mention any past medical conditions or illnesses that you have previously been diagnosed with.
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Step 3: Include information about any current medications or treatments that you are currently undergoing.
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Step 4: Provide details about any allergies or adverse reactions you have experienced in the past.
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Step 5: Mention any surgical procedures or hospitalizations you have gone through in the past.
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Step 6: Include information about any chronic conditions or ongoing medical issues you are dealing with.
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Step 7: Mention any family history of medical conditions, such as heart disease, diabetes, or cancer.
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Step 8: Provide details about your lifestyle habits such as smoking, alcohol consumption, and exercise routine.
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Step 9: Sign and date the form to confirm the accuracy of the information provided.

Who needs medical history form?

01
Anyone who is seeking medical care or treatment needs to fill out a medical history form. This includes new patients visiting a healthcare provider for the first time, as well as existing patients who are undergoing a different type of treatment or consulting a new healthcare professional.
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Medical history form is a document that contains information about an individual's past medical conditions, treatments, surgeries, medications, family medical history, and any allergies.
Medical history form is typically required to be filled out by patients when they visit a healthcare provider or apply for medical treatment.
To fill out a medical history form, individuals need to provide accurate and detailed information about their medical background, including any current health issues and family medical history.
The purpose of a medical history form is to help healthcare providers understand a patient's medical background, identify any potential health risks, and provide appropriate treatment.
Information that must be reported on a medical history form includes past medical conditions, surgeries, medications, allergies, family medical history, and any current health issues.
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