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MEDICAL HISTORY (To be filled and submitted to the examining physician before the physical examination)Name___Date___Birth date ___Home Address ___ ___Birthplace ___Nationality: ___Single ___ Married
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What is history and physical examination?
History and physical examination (H&P) is a comprehensive assessment of a patient's medical history and a thorough physical examination performed by a healthcare provider to gather information about the patient's health status.
Who is required to file history and physical examination?
Healthcare providers, including physicians, nurse practitioners, and physician assistants, are typically required to file a history and physical examination as part of the documentation process for patient care.
How to fill out history and physical examination?
To fill out a history and physical examination, the healthcare provider gathers information from the patient about their medical history, current symptoms, and performs a physical exam. This information is then documented in a structured format, often using standard templates.
What is the purpose of history and physical examination?
The purpose of history and physical examination is to assess a patient's health, diagnose medical conditions, plan appropriate treatment, and serve as a record for future medical care.
What information must be reported on history and physical examination?
Key information reported on history and physical examination includes the patient's demographic details, medical history, medications, allergies, family history, chief complaints, findings from the physical exam, and any diagnostic test results.
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