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Reset Medical History Statement Long Term Disability Standard Insurance Company Medical Underwriting, 900 SW Fifth Avenue Portland OR 97204 DIRECTIONS FOR APPLYING FOR COVERAGE Read the Information
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How to fill out medical history statement
How to Fill Out a Medical History Statement:
01
Start by gathering all the necessary information. This includes your personal details such as your full name, address, contact number, and date of birth. Additionally, gather information about your immediate family members, including any known medical conditions they may have.
02
Provide a comprehensive and accurate medical history. Write down any past illnesses, injuries, surgeries, or significant medical events you have experienced. Include information about chronic conditions, allergies, and medications you are currently taking. It is important to be thorough and provide as much detail as possible.
03
Remember to disclose any mental health history. This includes any previous diagnoses or treatments, as well as relevant information about your mental well-being. Anxiety, depression, bipolar disorder, and other mental health conditions should be included in your medical history statement.
04
Be honest and forthcoming about lifestyle factors. Inform the medical professional of any tobacco or alcohol use, drug consumption, or risky behaviors such as reckless driving or participating in extreme sports. These details contribute to a holistic understanding of your health.
05
Seek assistance if necessary. If you are unsure about how to complete certain sections or have difficulty recalling specific medical details, don't hesitate to ask for help. Reach out to a healthcare provider, family member, or friend who may be able to assist you in accurately completing the medical history statement.
Who Needs a Medical History Statement?
01
Individuals visiting a new healthcare provider: When you see a new doctor or specialist for the first time, they may require a medical history statement. This document helps them understand your health background and provides crucial information to guide your treatment.
02
Patients undergoing surgery or medical procedures: Prior to any surgical intervention or medical procedure, healthcare professionals need to be aware of your medical history. This allows them to minimize potential risks and provide appropriate care during and after the intervention.
03
Individuals applying for certain jobs or insurance policies: Some employers or insurance providers require applicants to complete a medical history statement. This information helps them assess risks and determine eligibility for employment or insurance coverage.
In summary, filling out a medical history statement involves collecting accurate personal and medical information, being honest about past illnesses and lifestyle factors, and seeking assistance if needed. This document is necessary for individuals visiting new healthcare providers, undergoing medical procedures, or applying for specific jobs or insurance policies.
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What is medical history statement?
Medical history statement is a document that outlines an individual's past medical conditions, treatments, and surgeries.
Who is required to file medical history statement?
Individuals who are applying for insurance or medical services may be required to file a medical history statement.
How to fill out medical history statement?
Fill out the medical history statement by providing accurate and detailed information about your medical history, including any current medications and allergies.
What is the purpose of medical history statement?
The purpose of a medical history statement is to provide healthcare providers and insurers with valuable information about an individual's health background.
What information must be reported on medical history statement?
Information such as past medical conditions, surgeries, treatments, allergies, current medications, and family history of diseases must be reported on a medical history statement.
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