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ORIENTAL MEDICAL HISTORY Please help us provide you with a complete evaluation by taking the time to fill out this questionnaire carefully. All of your answers will be held absolutely confidential.
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How to fill out oriental medical history

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To fill out an Oriental medical history, follow these steps:
02
Start by providing your personal information including your name, age, gender, and contact details.
03
Write down any current medical conditions or symptoms that you are experiencing.
04
Mention any past medical conditions or surgeries that you have undergone.
05
Provide a detailed family medical history, including any genetic conditions or diseases that run in your family.
06
Document your lifestyle habits such as exercise routine, dietary preferences, and sleep patterns.
07
Describe any medications or supplements that you are currently taking.
08
List any allergies or sensitivities that you have.
09
Mention any previous experiences with Oriental medicine or other alternative therapies.
10
Finally, sign and date the form to authorize the use of your medical history for treatment purposes.

Who needs oriental medical history?

01
Oriental medical history is needed by individuals seeking treatment or consultation from Oriental medicine practitioners.
02
This includes individuals who are experiencing health issues or symptoms and are interested in exploring traditional Chinese medicine and holistic approaches to healthcare.
03
The medical history helps the practitioner understand the patient's overall health condition, identify patterns and underlying causes of the symptoms, and tailor a personalized treatment plan.
04
It is also useful for tracking the progress of the patient's health over time and for providing a comprehensive approach to well-being.
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Oriental medical history refers to the documentation and study of medical practices, beliefs, and treatments that originated in Eastern cultures, particularly those based on Traditional Chinese Medicine (TCM) and other Asian medical systems.
Practitioners of oriental medicine, including acupuncturists and herbalists, are typically required to file oriental medical histories for their patients as part of their holistic approach to healthcare.
Filling out oriental medical history requires gathering comprehensive information about the patient's health background, including current symptoms, medical history, lifestyle factors, and any previous treatments related to oriental medicine practices.
The purpose of oriental medical history is to provide practitioners with a thorough understanding of the patient's overall health, enabling them to design personalized treatment plans based on traditional diagnostic methods.
Reported information on oriental medical history must include the patient's personal details, medical history, current health complaints, lifestyle habits, emotional state, and any previous treatments or diagnoses related to oriental medicine.
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