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Program Dates: ___/___/___ ___/___/___This form must be completed before participation in Chewing programs. Please read and answer ALL questions. For
participants under 18 the Youth Health History
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Who needs oc adult health history?
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Any adult who is seeking medical care or treatment from a healthcare provider will need to fill out an adult health history form.
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What is oc adult health history?
The OC Adult Health History is a form that provides information about an individual's past and current health status.
Who is required to file oc adult health history?
All adults residing in Orange County are required to file OC Adult Health History.
How to fill out oc adult health history?
OC Adult Health History can be filled out online or in-person by providing accurate information about your health history.
What is the purpose of oc adult health history?
The purpose of OC Adult Health History is to have a record of an individual's health status for reference and potential medical emergencies.
What information must be reported on oc adult health history?
Information such as medical conditions, allergies, medications, surgeries, and family history must be reported on OC Adult Health History.
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