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CONFIDENTIAL HEALTH HISTORYPatient Name:Date of Birth:I. CIRCLE APPROPRIATE ANSWER (Leave blank if you do not understand the question) 1. Yes / No Is your general health good?2. Yes / No Has there
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Yes no is your is a simple form used to indicate a yes or no response to a specific question or statement.
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Anyone who is asked to provide a yes or no response to a particular inquiry can be required to fill out a yes no form.
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Only a yes or no response is required on a yes no form, no additional information is typically requested.
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