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Students Name (Last, First, MI) ___ Alliance ID ___Alliance University School of Nursing Medical Clearance Instructions 1. Each student is responsible for payment related to medical clearance requirements
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How to fill out health history and physical

01
Begin by gathering all relevant medical records, including past surgeries, medications, and any known medical conditions.
02
Provide accurate information about any allergies or intolerances to medications or food.
03
Be thorough in detailing any past medical procedures or hospitalizations.
04
Include information about family medical history, such as a history of heart disease or cancer.
05
Answer all questions honestly and to the best of your knowledge.

Who needs health history and physical?

01
Anyone seeking medical treatment or care should fill out a health history and physical form. This information is crucial for healthcare providers to assess and provide appropriate care for individuals.
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Health history and physical is a medical form that includes information about a person's past medical history, current health status, and physical examination results.
Health history and physical is typically required to be filed by individuals seeking medical care, undergoing a medical examination, or participating in certain activities like sports or employment.
Health history and physical forms can be filled out by providing accurate and detailed information about past medical conditions, medications, allergies, surgeries, family history, and current symptoms. Physical examination results are typically completed by a healthcare provider.
The purpose of health history and physical is to provide healthcare providers with important information about a person's health in order to make informed decisions about diagnosis, treatment, and care.
Information that must be reported on health history and physical includes past medical conditions, current medications, allergies, surgeries, family history of illnesses, current symptoms, and results of physical examinations.
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