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DEPARTMENT OF HEALTH SERVICES Division of Public Health F44000 (Rev. 05/2016)STATE OF WISCONSIN s. 252.10 (7), Wis. Stats. Public Health Madison & Dane Co. Phone: (608) 2664821 FAX: (608) 2664858-Page
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Health status overview report is a document that provides a summary of an individual's current health condition.
Healthcare providers, insurers, and government agencies may be required to file health status overview reports.
Health status overview reports can be filled out by providing detailed information about the individual's medical history, current health status, and any relevant test results.
The purpose of health status overview report is to provide a comprehensive overview of an individual's health condition for medical professionals and other relevant parties.
Information such as medical history, current health status, medications, allergies, and recent test results must be reported on health status overview report.
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