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919 W. UNIVERSITY DR., SUITE 100, ROCHESTER MI 48307 PHONE: 248.651.9500 FAX: 248.651.3366Health Questionnaire Legal Name: DOB: Nickname: Primary Care Physician: Reason to be seen: List all medications,
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The health questionnaire - Stutz is a form used to assess an individual's health status for various purposes, including insurance underwriting, employment evaluations, or health assessments.
Individuals applying for certain insurance policies, employment opportunities, or participating in wellness programs may be required to file the health questionnaire - Stutz.
To fill out the health questionnaire - Stutz, individuals should provide accurate and complete information regarding their medical history, current health status, medications, and any relevant lifestyle factors.
The purpose of the health questionnaire - Stutz is to gather information that helps assess an individual's health risks and needs, enabling better decision-making in healthcare and insurance contexts.
Individuals must report information such as personal details, medical history, ongoing health conditions, medications, allergies, and lifestyle habits on the health questionnaire - Stutz.
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