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MARTINS PEDIATRICS AND FAMILY CARE: NEW INFANT HISTORY FORM NAME DOB: Food/Drug Allergies: Current Medications: BIRTH HISTORY Birth Hospital: Term Preterm, How many weeks premature? Problems during
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To fill out Martin's Pediatrics and Family form, follow these steps:
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Start by entering the patient's personal information, including their name, date of birth, and contact details.
03
Provide the patient's medical history, including any previous diagnoses, medications, allergies, and surgeries.
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Answer questions about the patient's family medical history, including information about any hereditary conditions or diseases.
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Fill in the patient's immunization records, including the dates and types of vaccines received.
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Who needs martins pediatrics and family?

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Martin's Pediatrics and Family form is needed by individuals or parents/guardians of children who are seeking medical care or services from Martin's Pediatrics and Family clinic.
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This form is necessary for new patients as it helps the healthcare professionals at Martin's Pediatrics and Family gather important medical information and history to provide optimal care.
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Existing patients may also need to fill out this form during follow-up visits to update their medical records or provide additional information.
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Martins Pediatrics and Family is a medical practice specializing in pediatric care for families.
All patients who receive medical services from Martins Pediatrics and Family are required to file their medical records with the practice.
Patients can fill out their medical information either online through the patient portal or in person at the office.
The purpose of Martins Pediatrics and Family is to provide quality healthcare services to children and families.
Patients must report their medical history, current health concerns, medications, and any allergies on Martins Pediatrics and Family forms.
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