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ORTHOPEDIC CENTER FOR SPORTS MEDICINE PRESENT MEDICAL HISTORY QUESTIONNAIRENAME: ___DATE: ___ AGE: ___DIRECTIONS: Please answer the following questions to the best of your ability. If you need additional
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How to fill out present medical history questionnaire

01
Start by reading all the questions on the medical history questionnaire.
02
Provide accurate and detailed information about your medical history including any past surgeries, illnesses, and current medications.
03
Make sure to include any known allergies or intolerances to medications or substances.
04
Fill out the questionnaire completely and legibly, using a pen if necessary.
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Double-check your answers to ensure accuracy before submitting the form.

Who needs present medical history questionnaire?

01
Present medical history questionnaires are typically needed by healthcare providers such as doctors, nurses, and other medical professionals.
02
Patients visiting a healthcare facility for the first time or seeking treatment for a specific condition may also be required to fill out a present medical history questionnaire.
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The present medical history questionnaire is a document used to gather information about an individual's current and past medical conditions, treatments, medications, and health habits for assessment by healthcare providers.
Individuals seeking medical treatment or assessments, as well as those applying for certain insurance policies or programs, are typically required to file the present medical history questionnaire.
To fill out the present medical history questionnaire, carefully read each question and provide accurate and honest information about your medical history, current symptoms, treatments, and medications.
The purpose of the present medical history questionnaire is to collect relevant health information to help healthcare providers make informed decisions regarding diagnosis, treatment, and to ensure appropriate care is delivered.
The information that must be reported includes personal identification details, current medical conditions, past surgeries, medication usage, allergies, and lifestyle factors such as smoking and exercise habits.
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