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SELFADMINISTERED FAMILY HISTORY Long form Genetics & Birth Defects Clinic Child Development and Rehabilitation Center (CDC) Oregon Health & Sciences University (OSU)Attach patient label hearths form
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Self-administered family history short form is a condensed version of a family history questionnaire that captures key information about an individual's family medical history.
Individuals who are seeking to provide their healthcare providers with information about their family medical history are required to fill out the self-administered family history short form.
The self-administered family history short form can be completed by providing details about the individual's immediate family members, including parents, siblings, and children, and any known medical conditions.
The purpose of the self-administered family history short form is to help healthcare providers assess an individual's risk for certain hereditary conditions and tailor preventive care and screening recommendations accordingly.
The self-administered family history short form typically requires information about the health conditions or diseases that have affected one's family members, along with details such as age of onset and any relevant treatments received.
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