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Adrienne E. Lara M.D., F.A.C.O.G. 1801 Solar Drive Suite 155 Oxnard, CA 93030 Phone: 805-988-7577 Fax: 805-485-0464 Oxnardobgyn.com NEW PATIENT MEDICAL HISTORY FORM The following information is very
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How to fill out dr lara medical history
How to fill out Dr. Lara medical history:
01
Start by providing your personal information. This includes your full name, date of birth, gender, and contact details such as phone number and address. Ensure all details are accurate and up to date.
02
Next, provide your medical insurance information. This may include your insurance provider's name, policy number, and any additional information required by your healthcare provider.
03
Move on to the section regarding your medical history. This is an essential part of the form as it helps Dr. Lara understand your past and current health conditions. Provide details about any chronic illnesses, surgeries, or hospitalizations you have undergone. Include the dates, names of healthcare providers, and any relevant information pertaining to these events.
04
List any existing medical conditions or diagnoses you have received. This may include allergies, asthma, diabetes, high blood pressure, or any other conditions that you are currently managing. Be thorough in providing information about these conditions, including the length of time you have had them and any treatment you are currently receiving.
05
Detail your medication history. Write down the names of any prescription medications you are currently taking, as well as over-the-counter medications, supplements, or herbal remedies. Include the dosage amount and frequency of use. This information is crucial for Dr. Lara to understand any potential drug interactions or side effects.
06
Provide a comprehensive family medical history. Indicate any significant health issues that run in your immediate family, such as heart disease, cancer, or genetic conditions. This information helps in assessing your risk factors for certain diseases and creating appropriate preventive measures.
07
Answer questions about lifestyle factors. This may include inquiries about your exercise routine, dietary habits, smoking or alcohol consumption, and any other relevant lifestyle choices that may impact your health.
Who needs Dr. Lara medical history?
Anyone seeking medical care from Dr. Lara or her healthcare facility will be required to provide their medical history. This information is vital for healthcare providers to better understand a patient's background and make informed decisions regarding their diagnosis, treatment options, and overall healthcare management. It enables Dr. Lara to provide personalized and effective care, taking into account any pre-existing conditions or potential risks.
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What is dr lara medical history?
Dr. Lara medical history includes information about past illnesses, surgeries, medications, allergies, and family medical history.
Who is required to file dr lara medical history?
Patients are required to file Dr. Lara medical history form before their appointment with the doctor.
How to fill out dr lara medical history?
Patients can fill out Dr. Lara medical history form online or physically at the doctor's office.
What is the purpose of dr lara medical history?
The purpose of Dr. Lara medical history is to provide the doctor with important information about the patient's health background.
What information must be reported on dr lara medical history?
The information reported on Dr. Lara medical history includes past illnesses, surgeries, medications, allergies, and family medical history.
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