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EPIC GmbHMEDICAL EXAMINATION REPORT COMPLETE THIS PAGE FULLY AND IN BLOCK CAPITALS REFER TO INSTRUCTIONS PAGES FOR DETAILS Medical in Confidence (201) Examination Category Initial(202) Height(203)
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To fill out a medical examination and history form, follow these steps:
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Start by providing your personal details such as your full name, date of birth, and contact information.
03
Next, fill in your medical history, including any previous illnesses, surgeries, or chronic conditions you may have.
04
List any medications you are currently taking, including the dosage and frequency.
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If you have any known allergies, make sure to mention them in the form.
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Provide information about your family's medical history, such as any hereditary diseases or conditions that run in the family.
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Answer questions about your lifestyle habits such as smoking, drinking, exercise routines, and diet.
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Finally, sign and date the form to authorize the disclosure of your medical information.
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Make sure to answer all the questions honestly and accurately to ensure proper medical evaluation and treatment.

Who needs medical examination and history?

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A medical examination and history form is required for anyone seeking medical services or treatment.
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This includes both new and existing patients as it helps healthcare professionals assess a patient's current health status, identify potential risks or concerns, and make informed decisions regarding their care.
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Medical examination forms are often required for routine check-ups, pre-employment screenings, hospital admissions, surgeries, or consultations with medical specialists.
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By providing a comprehensive medical history, patients can ensure that their healthcare providers have all the necessary information to provide personalized and effective care.
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Medical examination and history is a comprehensive record of a person's health status, including past medical history, current health conditions, medications, allergies, family medical history, and lifestyle factors.
Individuals applying for certain jobs or activities that require a thorough assessment of their health and medical background are required to file medical examination and history.
Medical examination and history forms can typically be filled out either online or on paper, providing detailed information about past and current health conditions, medications, allergies, and other relevant medical information.
The purpose of medical examination and history is to assess an individual's overall health status and identify any potential risks or concerns that may impact their ability to perform certain tasks or activities safely.
Information that must be reported on medical examination and history includes past medical history, current health conditions, medications, allergies, family medical history, and lifestyle factors.
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