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NURSING / ALLIED HEALTHMEDICAL EVALUATION / PHYSICAL EXAMINATION FORM PART I: To be completed by student CHECK THE BOX FOR THE APPROPRIATE NURSING/ALLIED HEALTH PROGRAM Radiologic Technology Emergency

How to fill out medical history and physical

How to fill out medical history and physical

1. Begin by gathering all the necessary information such as personal details, including name, age, contact information, and any known allergies or medical conditions.
2. Next, document the patient's medical history, including any past surgeries, major illnesses, medications currently being taken, and any chronic conditions or diseases.
3. Record the patient's family medical history, including any genetic or hereditary conditions that may be relevant.
4. Document the patient's lifestyle habits, such as smoking or alcohol consumption, as well as any known occupational hazards or exposures.
5. Conduct a thorough physical examination, including measuring vital signs such as blood pressure, heart rate, and temperature.
6. Perform a systematic examination of different body systems, such as the cardiovascular, respiratory, gastrointestinal, musculoskeletal, and neurological systems.
7. Record any abnormalities or findings from the physical examination, and make note of any recommended diagnostic tests or further evaluations.
8. Finally, summarize all the gathered information in a concise and organized manner, creating a comprehensive medical history and physical report.

Who needs medical history and physical?

1. Medical history and physical exams are needed by individuals seeking medical care or treatment.
2. This includes patients visiting a new healthcare provider for the first time, patients scheduled for surgeries or procedures, or individuals participating in certain occupational or sports activities.
3. Medical history and physical exams help healthcare providers assess a patient's overall health status, identify potential risk factors, and make informed decisions regarding diagnosis, treatment, or further investigations.

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What is medical history and physical?

Medical history and physical is a form that documents an individual's past and current medical conditions, medications, surgeries, and physical examination findings.

Who is required to file medical history and physical?

Individuals undergoing certain medical procedures or treatments may be required to file a medical history and physical form.

How to fill out medical history and physical?

To fill out a medical history and physical form, one must provide accurate information about their medical history, current medications, surgeries, and undergo a physical examination by a healthcare provider.

What is the purpose of medical history and physical?

The purpose of a medical history and physical is to assess an individual's overall health status and identify any potential risks or complications associated with a medical procedure or treatment.

What information must be reported on medical history and physical?

Information such as past and current medical conditions, medications, surgeries, allergies, family history of medical conditions, and the results of the physical examination must be reported on a medical history and physical form.