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Welcome to Cascade Family Eye Care Patient Name Date of Birth Home Address If patient is a minor, Name of Parent/Guardian Home Phone Cell Phone Email address (we won't release this to vendors/advertisers)
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Health-history-form-rev-1-16-18 is a standardized document used to collect an individual's health history for medical assessments and evaluations.
Individuals seeking medical services, participation in certain programs, or those undergoing specific evaluations are required to file health-history-form-rev-1-16-18.
To fill out health-history-form-rev-1-16-18, provide accurate personal details, complete the health history sections thoroughly, and review the form for any missing information before submission.
The purpose of health-history-form-rev-1-16-18 is to gather essential health information that aids healthcare providers in making informed decisions regarding diagnosis, treatment, and care.
Information that must be reported includes personal identification details, previous medical conditions, medications, allergies, and family health history.
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