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MEDICAL HISTORY: Completed by Parent or Guardian or 18YearOldMEDICAL HISTORY: Completed by Parent or Guardian or 18YearOldStudent Name: Date of Birth: Student Name: Date of Birth: Doctor: Doctors
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How to fill out medical history completed by
How to fill out medical history completed by
01
Start by gathering all necessary personal information, such as full name, date of birth, address, and contact details.
02
Include any past and present medical conditions or illnesses. Provide details on the diagnosis, treatment, and current status of each condition.
03
List all medications that are currently being taken, including the name, dosage, and frequency. Also, mention any allergies or adverse reactions to medications.
04
Include information about any previous surgeries or medical procedures, including the date, reason, and outcome.
05
Provide details about family medical history, such as any hereditary diseases or conditions that run in the family.
06
Mention any lifestyle factors that may impact health, such as smoking, alcohol consumption, exercise habits, and diet.
07
Lastly, review the completed medical history form for accuracy and completeness before submitting it.
Who needs medical history completed by?
01
Medical history forms are typically completed by patients who are seeking medical care or treatment.
02
Healthcare professionals may also need to fill out medical history forms for their patients in certain situations, such as prior to surgery or when starting a new treatment.
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