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Name: DOB: Sex: Family Doctor: Are you allergic to any of the following (please circle)? AspirinPenicillinLatexCodeineMetalIbuprofenClindamycinLocal AnestheticsSulfa Drugstore: List all other allergies:
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Med hisdocx is a document used for reporting medical histories and relevant patient data, typically required for insurance or regulatory purposes.
Healthcare providers, insurance companies, and other entities that handle patient medical records are required to file med hisdocx.
Med hisdocx should be filled out with accurate patient information, medical history, treatment records, and any other required details as specified by the governing regulations.
The purpose of med hisdocx is to standardize the reporting of medical histories to ensure compliance with health regulations and facilitate accurate patient care.
Med hisdocx must include patient identification information, medical history, medications, allergies, and notes from healthcare providers.
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