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PATIENT HISTORY Name:Date of Birth:Medical Record Number:PAST MEDICAL HISTORY: Have you ever been diagnosed with any of the following? High Blood Pressure Diabetes Mellitus (sugar) Angina Sectors
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Answer the questions honestly and accurately. The form may include questions about your past experiences or activities.
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The phrase 'have you ever been' typically refers to whether or not someone has experienced a particular situation or event in the past.
The requirement to file 'have you ever been' may vary depending on the context, but typically it applies to individuals who are filling out a form or application that asks about previous experiences or actions.
To fill out 'have you ever been', you would typically check a box or provide a response indicating whether or not you have experienced a certain situation or event.
The purpose of asking 'have you ever been' is usually to gather information about an individual's past experiences, actions, or qualifications.
The specific information that must be reported on 'have you ever been' will depend on the context in which the question is being asked. It could include details about past employment, criminal history, travel history, etc.
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