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Women's Health Associates HEALTH HISTORY Format of Birth: ___ Marital Status: SURNAME ___ PLEASE LIST ALLERGIESDATE: ___Reason for Visit: ___CURRENT MEDICATIONSPRIOR SURGERYSCREENING TESTS TESTATE/YEARNORMALABNORMALPAP
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Initial-health-history-form-v1pdf is a form used to collect and document a patient's medical history at the beginning of a healthcare visit.
Patients or individuals seeking medical care are required to fill out and file the initial-health-history-form-v1pdf.
Patients need to provide accurate information about their past and current medical conditions, medications, allergies, and family medical history on the initial-health-history-form-v1pdf.
The purpose of the initial-health-history-form-v1pdf is to assist healthcare providers in understanding a patient's health background and make informed decisions about their care.
Information such as medical conditions, past surgeries, medications, allergies, family medical history, and lifestyle habits must be reported on the initial-health-history-form-v1pdf.
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