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Department of Veterans Affairs Michael J. Fitzpatrick South Dakota Veterans Home 2500 Minnesota Avenue Hot Springs, SD 57747 Phone 605.745.5127 Fax 605.745.5547 PRE--ADMISSION HISTORY AND PHYSICAL

How to fill out pre--admission history and physical

How to fill out pre-admission history and physical:

1. Begin by carefully reading the pre-admission history and physical form. It is important to understand the purpose and specific requirements of the form.
2. Start by providing your personal information, such as your full name, date of birth, address, and contact details. Make sure all the information provided is accurate and up-to-date.
3. In the medical history section, provide detailed information about your past and current medical conditions. Include any chronic illnesses, surgeries, allergies, and medications you are currently taking. Be honest and thorough while providing this information to ensure accurate assessment and care.
4. Fill out the section related to your family medical history. Include information about any hereditary conditions that run in your family, such as heart disease, diabetes, or cancer. This helps healthcare professionals identify potential risks or genetic predispositions.
5. The next section typically involves providing your immunization history. Include details about recent vaccinations or immunizations you have received, especially if you are going to a healthcare facility that requires specific immunizations.
6. If applicable, provide information about any ongoing treatments or therapies you are currently undergoing. This can include physical therapy, occupational therapy, or counseling. Mention the specific therapy, duration, and any progress made.
7. The form may also include a section about your lifestyle habits, such as smoking, alcohol consumption, or substance abuse. Answer these questions honestly as it can impact your overall health assessment and subsequent care.
8. If you have any specific concerns or questions, use the additional comments section to communicate them. This can include any anxieties, fears, or special requests you may have regarding your admission or care.

Who needs pre-admission history and physical:

1. Individuals preparing for elective surgeries or procedures often require a pre-admission history and physical. This allows healthcare professionals to assess their overall health, identify any potential risks, and ensure they are fit for the planned procedure.
2. Some healthcare facilities may also require pre-admission history and physical for admissions to long-term care facilities, such as nursing homes or rehabilitation centers. This helps in gauging the individual's physical and medical needs to provide appropriate care and support.
3. Students enrolling in certain educational programs, such as nursing or healthcare-related courses, may also need to complete a pre-admission history and physical. This ensures that they are physically capable of participating in the program and can handle the demands of the curriculum.

Note: The specific requirements for pre-admission history and physical may vary depending on the institution or facility. It is advisable to consult with the respective healthcare provider or educational institution to understand their specific expectations and guidelines.

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What is pre-admission history and physical?

Pre-admission history and physical is a medical form that documents a patient's medical history and current health status prior to a hospital admission.

Who is required to file pre-admission history and physical?

Patients scheduled for a hospital admission are required to file pre-admission history and physical.

How to fill out pre-admission history and physical?

Patients can fill out pre-admission history and physical by providing accurate information about their medical history, current medications, allergies, and recent surgeries.

What is the purpose of pre-admission history and physical?

The purpose of pre-admission history and physical is to ensure that healthcare providers have a comprehensive understanding of the patient's health status before admission to the hospital.

What information must be reported on pre-admission history and physical?

Information such as medical history, current medications, allergies, surgical history, family medical history, and current health status must be reported on pre-admission history and physical.