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Get the free MEDICAL HISTORY QUESTIONNAIRE - Bradford Orthodontics

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BRADFORD ORTHODONTICS CHILD MEDICAL/DENTAL HISTORY QUESTIONNAIRE PATIENT INFORMATION NAME:. ___ DATE OF BIRTH (dd/mm/by):___/___/___HOME TELEPHONE: (___)______CELL (___)______ADDRESS ___ APARTMENT/UNIT
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How to fill out medical history questionnaire

01
Begin by carefully reading each question on the medical history questionnaire.
02
Fill in your personal information such as name, date of birth, and contact information.
03
Provide details about your medical history including any past surgeries, illnesses, or chronic conditions.
04
List any medications you are currently taking, including the dosage and frequency.
05
Include any allergies you have to medications, foods, or other substances.
06
Answer questions about your family medical history, including any hereditary conditions.
07
Make sure to be honest and thorough when filling out the questionnaire to ensure accurate medical information.

Who needs medical history questionnaire?

01
Anyone who is receiving medical treatment or care from a healthcare provider may need to fill out a medical history questionnaire.
02
This includes new patients seeing a doctor for the first time, individuals undergoing surgery or other medical procedures, and those seeking treatment for a specific medical condition.
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Medical history questionnaire is a document that gathers information about an individual's medical background, including past illnesses, surgeries, family history, and current medications.
Individuals seeking medical treatment or undergoing medical procedures are typically required to fill out a medical history questionnaire.
To fill out a medical history questionnaire, individuals need to provide accurate and detailed information about their medical history, including any relevant information about their health.
The purpose of a medical history questionnaire is to help healthcare providers better understand a patient's health background and make informed decisions about their care.
Information such as past illnesses, surgeries, family history of diseases, allergies, and current medications must be reported on a medical history questionnaire.
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