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7340 W. 21st St. N., Suite 100 Wichita, KS 67205 Phone: (316) 613 3068 Fax: (316) 613 3774 www.premierphysicaltherapy.netHealth History Name: Date: / / Primary Care Physician: Referring MD: Date of
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Health history - premier is a detailed record of an individual's medical background, including past illnesses, surgeries, medications, and ongoing health concerns.
All individuals enrolled in the premier health plan are required to file health history - premier.
Health history - premier can be filled out online through the insurance provider's website, or by filling out a paper form and submitting it to the designated health office.
The purpose of health history - premier is to provide healthcare providers with comprehensive information about an individual's medical history, in order to provide appropriate and effective treatment.
Information reported on health history - premier may include past medical conditions, surgeries, hospitalizations, medications, allergies, and family medical history.
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