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Medical History / Problem List(please print)Name Age Today's Date of last eye exam by Ophthalmologist (M.D.) Optometrist (O.D.) not preseason for present visit: Have you ever had:Diabetes yes High

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How to fill out medical history problem list

01

Start by gathering all relevant medical records, including previous diagnoses, treatments, and surgeries.

02

Create a comprehensive list of all current medical problems, including chronic conditions, diseases, and injuries.

03

Prioritize the list based on the most significant or relevant problems.

04

Include details about the onset, duration, and severity of each problem.

05

Provide information about any medications or treatments currently being used for each problem.

06

Include any known allergies or adverse reactions to medications.

07

Update the list regularly to reflect any changes in medical conditions or treatments.

Who needs medical history problem list?

01

Medical history problem list is needed by healthcare professionals, such as doctors, nurses, and specialists, to have a comprehensive understanding of a patient's past and current medical problems.

02

Patients themselves can also benefit from having a medical history problem list as it helps them track their own health conditions and communicate effectively with healthcare providers.

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What is medical history problem list?

The medical history problem list is a comprehensive record of a patient's health issues, including current and past medical problems, allergies, medications, and any other relevant health information.

Who is required to file medical history problem list?

Healthcare providers, such as physicians, nurses, and other medical professionals involved in patient care, are required to file and maintain a medical history problem list for their patients.

How to fill out medical history problem list?

To fill out a medical history problem list, healthcare providers should gather detailed information from the patient regarding their health conditions, medications, allergies, and any surgeries or significant medical events, and document them in a structured format.

What is the purpose of medical history problem list?

The purpose of the medical history problem list is to provide a concise overview of a patient's medical background, which aids in diagnosis, treatment planning, and continuity of care.

What information must be reported on medical history problem list?

The medical history problem list must report information such as current and past medical issues, allergies, medications being taken, immunization status, and pertinent family and social history.

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