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NAME:___DATE:___ CELL PHONE NUMBER___ VOMITING AND /OR DIARRHEA HISTORY DOGCATVOMITINGDIARRHEA1.When did it start?___ 2. Any history of eating stuff?___ 3. Vomiting food?Bile?Other?4. How often is
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Start by gathering all necessary documents and forms related to medical history and physical.
02
Fill out personal information such as name, date of birth, address, and contact information.
03
Provide details about any past medical conditions, surgeries, or hospitalizations.
04
List all current medications being taken, including dosage and frequency.
05
Document any allergies or adverse reactions to medications.
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Include information about family medical history, such as any genetic conditions or diseases.
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Be thorough and honest when answering questions about lifestyle habits, such as smoking, alcohol consumption, and exercise.
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Once the form is complete, review it for accuracy and sign and date where required.

Who needs medical history and physical?

01
Medical history and physical forms are usually needed by healthcare providers, doctors, nurses, and other medical professionals.
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These forms are essential for establishing a patient's baseline health status, identifying potential risk factors, and planning appropriate treatment and care.
03
Insurance companies and employers may also require medical history and physical forms for assessing eligibility for coverage or employment purposes.
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Medical history and physical refer to a comprehensive evaluation of a patient's health background, including past medical conditions, surgeries, and medications, along with a physical examination conducted by a healthcare professional.
Individuals such as student athletes, patients undergoing certain medical procedures, and others as specified by institutional or regulatory requirements are typically required to file medical history and physical.
To fill out medical history and physical, individuals should gather their health information, answer all questions accurately regarding past illnesses, surgeries, allergies, and medications, and submit the completed form to the appropriate healthcare provider or institution.
The purpose of medical history and physical is to assess a person's overall health, identify potential health risks, guide treatment decisions, and ensure safe participation in activities such as sports or surgeries.
Information reported on medical history and physical usually includes personal identification, medical history, current medications, allergies, previous surgeries, and family medical history.
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