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DEPARTMENT OF DEFENSE EDUCATION ACTIVITY SOCIAL/FAMILY/MEDICAL HISTORYH103OMB Control No: OMB approval expires:The public reporting burden for this collection of information is estimated to average
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How to fill out socialfamilymedical history

01
Start by gathering information about your family's medical history. This includes details about any medical conditions, diseases, or illnesses that your parents, siblings, grandparents, and other close relatives have experienced.
02
Create a comprehensive list of the medical conditions and include relevant information such as the name of the condition, the age at which it was diagnosed, and any relevant treatment or medications that were used.
03
It is also important to include information about any significant surgeries or hospitalizations that your family members have undergone.
04
Collect as much information as possible about the cause of death for deceased family members, especially if it was related to a medical condition.
05
Take note of any genetic conditions or hereditary diseases that may run in your family.
06
Once you have gathered all the necessary information, you can use a socialfamilymedical history form or template to record the details. This can be obtained from your healthcare provider or downloaded from reputable websites.
07
Fill out the form accurately and provide as much detail as possible. Make sure to update the information regularly as new medical events occur within your family.
08
Keep a copy of the completed socialfamilymedical history form for your personal records and share it with your healthcare provider during medical appointments.
09
Remember to respect the privacy and confidentiality of your family members' medical information while filling out the socialfamilymedical history form.

Who needs socialfamilymedical history?

01
Anyone who is concerned about their health or the health of their family members can benefit from having a socialfamilymedical history. It is particularly important for individuals who have a family history of genetic conditions, hereditary diseases, or other medical conditions that may have a significant impact on their own health. Healthcare providers also often request socialfamilymedical history to better understand the patient's risk factors, make accurate diagnoses, and develop appropriate treatment plans.
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Social family medical history is a record of medical information about a person's family members, including parents, siblings, grandparents, and children.
Individuals are typically required to file social family medical history forms, especially when seeking medical treatment or participating in medical research studies.
To fill out a social family medical history form, one must provide information about their family members' medical conditions, diseases, and health history.
The purpose of social family medical history is to help healthcare professionals identify potential genetic or hereditary health risks that may affect an individual's health.
Information such as family members' medical conditions, diseases, age of onset, and treatments received should be reported on social family medical history forms.
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