Form preview

Get the free ADULT SOCIAL HISTORY

Get Form
CLINICAL HISTORY FORM Name: Today's Date: / / Sex: Male Female Age: Birth Date: / / Guardian (if applicable): Primary Address: City: Zip: Highest Grade Completed: (School aged clients): School Stressors
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign adult social history

Edit
Edit your adult social history form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your adult social history form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing adult social history online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the professional PDF editor, follow these steps below:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit adult social history. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out adult social history

Illustration

How to fill out adult social history

01
To fill out an adult social history, follow these steps:
02
Begin by gathering the necessary documents and information about the individual's background, such as personal identification details, employment history, educational background, and family information.
03
Use a standardized social history form or create a template to organize and record the information systematically.
04
Start with personal identification details, including full name, date of birth, gender, contact information, and any identification numbers (e.g., social security number).
05
Record employment history, including past and current jobs, job titles, dates of employment, and a brief description of responsibilities.
06
Document educational background, such as highest level of education completed, degrees obtained, educational institutions attended, and any specialized training or certifications.
07
Include relevant information about the individual's family, including marital status, spouse/partner's details, and any children or dependents.
08
Capture information about the individual's living situation, such as current address, previous addresses, and any relevant details about the living environment (e.g., renting, owning a home).
09
Record any significant medical history, including past illnesses, surgeries, allergies, chronic conditions, and medications currently being taken.
10
Include information about the individual's social support network, such as close friends, family members, or community resources that they rely on for support.
11
Finally, review the completed social history form for accuracy and completeness before saving or sharing it with the intended recipient.

Who needs adult social history?

01
Adult social history is needed by various professionals and organizations involved in the care and support of adults, including:
02
- Healthcare providers: Doctors, nurses, and other medical professionals require a comprehensive social history to understand their patients' health needs, assess risk factors, and make informed treatment decisions.
03
- Social workers: They use adult social histories to evaluate an individual's social functioning, assess their support system, determine eligibility for services and benefits, and create personalized care plans.
04
- Mental health professionals: Psychologists, therapists, and counselors may request social histories to understand the psychological, emotional, and environmental factors affecting a person's mental health.
05
- Legal professionals: Attorneys and legal advocates may request adult social histories as evidence in court cases related to child custody, adoption, immigration, or disability rights.
06
- Researchers: Researchers conducting studies on adult wellbeing, social determinants of health, or population health trends may analyze aggregated social histories to draw insights and conclusions.
07
Overall, adult social histories are essential in developing a holistic understanding of an individual's life situation, facilitating appropriate care and support interventions, and informing decision-making processes across various domains.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.8
Satisfied
54 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Simplify your document workflows and create fillable forms right in Google Drive by integrating pdfFiller with Google Docs. The integration will allow you to create, modify, and eSign documents, including adult social history, without leaving Google Drive. Add pdfFiller’s functionalities to Google Drive and manage your paperwork more efficiently on any internet-connected device.
You certainly can. You can quickly edit, distribute, and sign adult social history on your iOS device with the pdfFiller mobile app. Purchase it from the Apple Store and install it in seconds. The program is free, but in order to purchase a subscription or activate a free trial, you must first establish an account.
Complete your adult social history and other papers on your Android device by using the pdfFiller mobile app. The program includes all of the necessary document management tools, such as editing content, eSigning, annotating, sharing files, and so on. You will be able to view your papers at any time as long as you have an internet connection.
Adult social history is a document that provides details about an individual's personal, medical, and social background.
Adult social history is typically filled out by healthcare providers or individuals seeking medical treatment.
Adult social history is usually filled out by completing a form with information such as personal medical history, current medications, and lifestyle habits.
The purpose of adult social history is to provide healthcare providers with a comprehensive understanding of an individual's background to assist in diagnosis and treatment.
Information that must be reported on adult social history includes personal medical history, current medications, family history, and social habits.
Fill out your adult social history online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.