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Name: Birth Date: Date: Reason for you visit today? Preferred Pharmacy: Please list current medication:Have you ever had Sexually transmitted disease or HPV? (HIV/ AIDS including Chlamydia, gonorrhea
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What is family medical history?
Family medical history is a record of health information about a person's close relatives. This includes information about any diseases or conditions that may run in the family.
Who is required to file family medical history?
Family members are typically required to provide their own individual family medical histories.
How to fill out family medical history?
Family medical history can be filled out by gathering information from relatives and documenting any known health conditions or diseases.
What is the purpose of family medical history?
The purpose of family medical history is to identify any patterns of diseases or conditions that may be hereditary and to help healthcare providers assess an individual's risk of developing certain medical issues.
What information must be reported on family medical history?
Information such as specific health conditions, age of onset, severity of conditions, and any relevant lifestyle factors should be reported on family medical history forms.
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