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MEDICAL/SURGICALHISTORY PatientName:___ Today\'state:___ Patient No:___ SurgeryDate:___ SurgeonName:Dr. FredWilderProcedures:___ In this time of rapidly expanding medical knowledge and the increasing
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Gather all relevant documents pertaining to your medical and surgical history.
02
Begin by providing personal information such as your name, date of birth, and contact details.
03
List any medical conditions you have been diagnosed with, including the dates of diagnosis and any treatments received.
04
Document any surgical procedures you have undergone, specifying the dates and reasons for the surgeries.
05
Include a list of medications you are currently taking, as well as any allergies or adverse reactions you may have experienced.
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Be thorough and specific when filling out your medical and surgical history to ensure accurate and comprehensive information.

Who needs medical and surgical history?

01
Medical professionals such as doctors, nurses, and healthcare providers require access to a patient's medical and surgical history to provide appropriate care and treatment.
02
Insurance companies may also request this information for coverage and reimbursement purposes.
03
Emergency responders and medical personnel treating a patient in an emergency situation may need to review their medical and surgical history to make informed decisions about their care.
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Medical and surgical history is a record of a person's past health conditions, treatments, and surgeries.
Medical and surgical history is typically required to be filed by patients when seeking medical treatment or by healthcare providers for documentation purposes.
Medical and surgical history forms can be filled out by providing information about past illnesses, surgeries, medications, allergies, and family medical history.
The purpose of medical and surgical history is to provide healthcare providers with important information about a patient's health background to aid in diagnosis and treatment.
Information such as past medical conditions, surgeries, hospitalizations, medications, allergies, and family medical history should be reported on medical and surgical history forms.
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