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HUSKY HOUSE INC.DATE SCHOOL AGE CHILD HEALTH, PERSONAL, & SOCIAL HISTORY Child's Telehealth History Sex / / Birth date×Date of last physical exam *Any known allergies? *Has your child had any sort
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To fill out your personal and social history, follow these steps:
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Start by gathering necessary information such as your full name, date of birth, and contact details.
03
Provide details about your education history, including the institutions attended, degrees obtained, and dates of graduation.
04
Include information about your employment history, including the companies you worked for, job titles, and dates of employment.
05
Mention any professional licenses or certifications you hold.
06
Include information about your marital status, spouse's name, and any dependents.
07
Provide details about your previous addresses, including the dates you lived at each location.
08
Mention any criminal records or legal issues you have encountered.
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Include information about your medical history, including any chronic conditions or significant illnesses.
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Provide details about your social activities, hobbies, and interests.
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Finally, review the information for accuracy and completeness before submitting.

Who needs personal and social history?

01
Personal and social history is needed by various entities, including:
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- Healthcare providers: They need personal and social history to assess the patient's health, identify risk factors, and provide appropriate medical care.
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- Employers: Some employers may require personal and social history as part of the job application process to evaluate an individual's background and qualifications for a particular role.
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- Insurance companies: Personal and social history is often used by insurance companies to determine coverage options and assess risk factors.
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- Government agencies: Certain government agencies may request personal and social history for background checks or eligibility purposes.
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- Researchers: Researchers may collect personal and social history data to study patterns, demographics, or to analyze specific populations.
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Personal and social history refers to a comprehensive account of an individual's background, including their personal experiences, relationships, and social interactions that may impact their life and health.
Individuals applying for certain jobs, medical assessments, or social services may be required to file personal and social history.
To fill out personal and social history, individuals should gather relevant information about their background, complete the required forms accurately, and provide any supporting documentation as needed.
The purpose of personal and social history is to assess an individual's background to inform healthcare, social services, or employment decisions.
Information that must be reported typically includes personal identification details, medical history, family background, employment history, and significant life events.
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