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Michelle Thompson, Lac. 2208 NW Market St. #410 Seattle, WA 98107 (206) 7817234www.MichelleThoreson.net mmthoreson@gmail.comWelcome, East Asian Medicine is a holistic modality based on hundreds of
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How to fill out health history and consent

01
Start by reading the health history and consent form carefully.
02
Fill out your personal information accurately, including your name, date of birth, and contact details.
03
Provide information about your medical history, including any past illnesses or surgeries that you have undergone.
04
List any medications you are currently taking, including over-the-counter drugs or supplements.
05
Answer all the questions about your family medical history, such as any hereditary conditions or diseases that run in your family.
06
If there are any specific questions or sections in the form that you are unsure about, seek clarification from a healthcare professional.
07
Review the completed form to ensure all necessary information is filled out.
08
Sign and date the consent section to indicate your agreement to share your health information as outlined in the form.
09
Return the filled-out form to the healthcare provider or follow any specific instructions mentioned on the form.

Who needs health history and consent?

01
Anyone seeking medical treatment or services needs to fill out a health history and consent form.
02
This includes new patients visiting a healthcare facility for the first time, individuals undergoing a medical procedure, or individuals applying for health insurance coverage.
03
Health history and consent forms are crucial for healthcare providers to gather comprehensive information about a patient's medical background and ensure proper care and treatment.
04
Consent forms also protect the rights and privacy of patients by ensuring that their health information is shared only with authorized individuals or organizations.
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Health history and consent is a form that provides information about an individual's past medical conditions, treatments, allergies, and medications, as well as their consent for medical treatment.
Any individual who is seeking medical treatment or care is required to file health history and consent.
Health history and consent forms can be filled out by providing accurate and complete information about past medical history, allergies, medications, and signing the consent section.
The purpose of health history and consent is to ensure that healthcare providers have all necessary information about a patient's medical background and to obtain consent for treatment.
Information such as past medical conditions, surgeries, medications, allergies, and any other relevant medical history must be reported on health history and consent forms.
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