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Metro Community Health is committed to providing the best care possible to our patients Please complete this survey to help us serve you better Date of your Visit: ___ Metro Site: 1 Bronx Health Center1
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Gather all necessary health information including medical history, current medications, allergies, and any ongoing health issues.
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Complete all sections of the health status form accurately and honestly.
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Who needs health status and health?

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Individuals seeking medical treatment
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Health status refers to an individual's current state of health, including any medical conditions, illnesses, or injuries. Health, on the other hand, is a broader concept that encompasses physical, mental, and social well-being.
Health status and health may need to be reported by individuals, healthcare providers, insurance companies, or government agencies, depending on the specific requirements.
Health status and health can be filled out by providing accurate and up-to-date information about one's medical history, current health conditions, medications, and any other relevant health-related details.
The purpose of reporting health status and health is to ensure that individuals receive appropriate medical care, support public health initiatives, and facilitate health-related research and data collection.
Information that may need to be reported on health status and health includes medical conditions, treatments, medications, allergies, immunizations, family history, and lifestyle factors.
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