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State of CaliforniaHealth and Human Services AgencyDepartment of Health Care ServicesMEDICAL SOURCE INSTRUCTION SHEET FOR COMPLETION OF ATTACHED DOCS 7035 A (Medical Report on Adult With Allegation

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How to fill out medical report on adult

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Step 1: Begin by filling out the basic information of the adult, such as their name, age, and contact details.

02

Step 2: Provide details about the medical history of the adult, including any past illnesses, surgeries, or medications being taken.

03

Step 3: Document the present symptoms or complaints of the adult, ensuring to include the duration and severity of each symptom.

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Step 4: Include any relevant diagnostic tests or procedures that have been conducted on the adult, along with the results.

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Step 5: Write down the observations made during the physical examination of the adult, covering all relevant body systems.

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Step 6: Summarize the findings and diagnosis based on the information provided and the medical examination.

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Step 7: Provide recommendations for further treatment or follow-up actions, if necessary.

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Step 8: Sign and date the medical report, along with the name and credentials of the healthcare professional responsible for the evaluation.

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Step 9: Make sure to keep a copy of the completed medical report for future reference.

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What is medical report on adult?

A medical report on an adult is a document detailing the individual's overall health status, medical history, and any current medical conditions.

Who is required to file medical report on adult?

The individual's healthcare provider or physician is usually required to file a medical report on an adult.

How to fill out medical report on adult?

To fill out a medical report on an adult, the healthcare provider must gather information on the patient's medical history, current health status, and any treatments or medications.

What is the purpose of medical report on adult?

The purpose of a medical report on an adult is to provide an overview of the individual's health status, which can be used for treatment planning, insurance purposes, or legal matters.

What information must be reported on medical report on adult?

The medical report on an adult must include the patient's personal information, medical history, current health issues, medications, and any recommendations for further treatment or care.

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