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TEEN PATIENT HISTORY Date:Please complete both sides of this form. PATIENT NAME:Prefer to be called / NicknameGender per your health insurance Male Revalidate of Birth: What type of diet do you follow?
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How to fill out teen patient history
How to fill out teen patient history
01
Start by gathering all the necessary information such as personal details, including name, age, address, and contact information.
02
Record the medical history of the teenager, including any previous illnesses, treatments, surgeries, or hospitalizations.
03
Ask about any allergies or adverse reactions to medications.
04
Document the family medical history, including any hereditary conditions or diseases.
05
Inquire about the teenager's current medications, including dosage and frequency.
06
Ask about any ongoing medical conditions or chronic illnesses.
07
Include information on the teenager's immunization history.
08
Document any psychological or emotional concerns.
09
Inquire about any risky behaviors such as smoking, substance abuse, or sexual activity.
10
Finally, ensure that all the information is accurately recorded and stored securely.
Who needs teen patient history?
01
Teen patient history is needed by healthcare professionals such as doctors, nurses, and specialists who are responsible for the teenager's healthcare.
02
It is also useful for conducting research studies or assessing the overall health and well-being of teenagers in a population.
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What is teen patient history?
Teen patient history is a record of medical information pertaining to adolescents, typically between the ages of 13-19.
Who is required to file teen patient history?
Healthcare providers, doctors, or medical facilities responsible for the care of adolescent patients are required to file teen patient history.
How to fill out teen patient history?
Teen patient history can be filled out by gathering relevant medical information about the adolescent patient, including past illnesses, medications, family history, and current health status.
What is the purpose of teen patient history?
The purpose of teen patient history is to provide healthcare providers with essential background information about adolescent patients to facilitate appropriate medical care and treatment.
What information must be reported on teen patient history?
Information such as past medical conditions, allergies, current medications, family medical history, and any ongoing treatments or therapies must be reported on teen patient history.
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