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GYM MEMBERSHIP APPLICATION FORM 2017/2018 YOUR DETAILS NAME: ADDRESS: HOME PHONE: WORK PHONE: MOBILE: MEDICAL INFORMATION (please give details of any medication you are taking) If you are male over
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How to fill out health history form

01
Start by reading the instructions provided on the health history form.
02
Gather all the necessary information, such as your personal details, medical history, and any medications you are currently taking.
03
Begin filling out the form by providing your full name, date of birth, and contact information.
04
Proceed to input your medical history, including any previous illnesses, surgeries, or chronic conditions you have had.
05
Clearly document any allergies or adverse reactions you may have experienced in the past.
06
Provide information about your current medications, including the name, dosage, and frequency of each medication.
07
If applicable, mention any family history of medical conditions that are relevant to your health.
08
Answer any additional questions or sections on the form as required.
09
Double-check all the information you have entered to ensure accuracy and completeness.
10
Once you have reviewed the form, sign and date it to indicate that the information provided is accurate and true.

Who needs health history form?

01
The health history form is typically needed by individuals who are seeking medical treatment or undergoing a medical procedure.
02
It may be required by healthcare providers, hospitals, clinics, or other medical facilities to gather important information about a patient's health background.
03
In some cases, employers or educational institutions may also require a health history form as part of their screening or enrollment process.
04
Overall, anyone who is receiving or providing healthcare services may need to fill out a health history form.
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The health history form is a document used to gather information about an individual's past and current health, including medical conditions, treatments, and medications.
Individuals seeking medical treatment or care are typically required to fill out a health history form by healthcare providers.
Health history forms can be filled out by providing accurate and detailed information about your medical history, including any pre-existing conditions, surgeries, allergies, and current medications.
The purpose of a health history form is to provide healthcare providers with relevant information about a patient's health status, which can help guide treatment decisions.
Information that must be reported on a health history form includes medical conditions, surgeries, medications, allergies, family medical history, and lifestyle habits.
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