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1978201819782018NEW PATIENT INFORMATION AND UPDATE Referred by: ___Primary care Doctor: ___Name___Employer ___Address ___Address ___City ___ State ___ Zip ___Phone ___Home Phone ___Position ___Cell
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Review the sections related to allergy history, which may include questions about prior allergies, allergic reactions, and medications for allergies.
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The allergy history section of the Heal New Patient Packet document contains information about any allergies the patient may have.
The patient or their legal guardian is required to fill out the allergy history section of the Heal New Patient Packet.
The allergy history section should be completed by providing details of any known allergies, including the type of allergy and any medications or treatments used to manage it.
The purpose of the allergy history section is to ensure that healthcare providers are aware of any allergies the patient may have in order to provide safe and appropriate care.
Information such as the type of allergy, severity, any previous reactions, medications used, and current treatment plan must be reported on the allergy history section.
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