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Health History Form: Required for all campers attending Camp Evelyn or Camp Manitou Please type or write clearly and legibly. Name(Last, First, Middle Initial):Date of Birth:Age:Home Address:City:St:Parent/Guardian:Phone:Alt.
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Gather all relevant medical records and information.
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Include details on past medical conditions, surgeries, medications, and allergies.
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Fill out any family history information that may be relevant.
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Include immunization records and any recent lab results.
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Provide information on lifestyle factors such as diet, exercise, and substance use.

Who needs adult health history and?

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Adults who are seeing a new healthcare provider for the first time.
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Individuals with chronic medical conditions who are receiving ongoing care.
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Those undergoing medical procedures or surgeries that may require detailed medical history.
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Adult health history is a record of a person's past and current medical conditions, treatments, surgeries, medications, and family medical history.
Any adult individual is required to file their own adult health history.
Adult health history can be filled out by providing accurate and detailed information about one's medical history.
The purpose of adult health history is to provide healthcare providers with important information about a person's health background, which can help in diagnosing and treating medical conditions effectively.
Information such as past and current medical conditions, surgeries, treatments, medications, allergies, and family medical history must be reported on adult health history.
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