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Connecticut Technical High School System--Health History & Emergency Contact Form Student Name Grade Shop Date of Birth Male Lives with: Both Parents Mother Father Legal Guardian: Female Other: Home
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How to fill out health history and emergency:

01
Start by gathering all the necessary information. This includes personal details such as your full name, date of birth, and contact information.
02
Next, provide your medical history. This involves documenting any previous illnesses, surgeries, or chronic conditions you have or had in the past.
03
Be sure to include details about any medications you are currently taking, including the dosage and frequency.
04
It is important to mention any allergies or adverse reactions you may have had to medications or certain substances in the past.
05
In terms of your family medical history, record any hereditary conditions or diseases that run in your family.
06
In the emergency section, list the contact details of your emergency contacts. These individuals should be notified in case of any medical emergencies.
07
Specify any additional emergency information, such as any specific medical conditions or precautions that healthcare providers should be aware of in case of an emergency.

Who needs health history and emergency:

01
Anyone seeking medical care should provide a health history and emergency information. This includes patients visiting doctors, specialists, or any healthcare facility.
02
Individuals who are scheduled for surgeries or procedures should also provide their health history and emergency contacts.
03
It is important for individuals with existing medical conditions or chronic illnesses to provide accurate health history and emergency information.
04
Even if you are generally healthy, it is still advisable to have your health history documented and emergency contacts readily available in case of unexpected situations.
05
Health history and emergency information is especially crucial for individuals with allergies, as it helps medical professionals take necessary precautions and provide appropriate treatment.
Overall, providing accurate and up-to-date health history and emergency information ensures that healthcare providers have a comprehensive understanding of your medical background and can provide you with the best possible care.
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