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This document is a health history form designed for parents or guardians to provide necessary medical information regarding their child’s health status and history. It is specifically for students participating in athletics at St. Francis Preparatory School and includes sections on general health, allergies, injury history, heart health, and COVID-19 information.
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01
Gather the individual's personal and medical history.
02
Review any recent changes in health status or new symptoms.
03
List any medications currently being taken, including dosages.
04
Document any new allergies or adverse reactions to medications.
05
Include any recent hospitalizations or surgeries.
06
Note significant family health history changes.
07
Ensure that all entries are clear, accurate, and up-to-date.

Who needs interval health history for?

01
Individuals undergoing routine medical check-ups.
02
Patients scheduled for procedures or surgeries.
03
Those with chronic conditions needing ongoing management.
04
Patients preparing for a new treatment plan.
05
Healthcare providers conducting comprehensive health assessments.
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Interval health history is used to assess and document changes in a patient's health status over a specified period of time.
Healthcare providers, such as doctors and hospitals, are required to file interval health history for their patients.
To fill out interval health history, healthcare providers should gather relevant health information from the patient, including changes in medical conditions, medications, and other health-related events since the last visit.
The purpose of interval health history is to update the patient's medical records, assess ongoing health issues, and plan for future care.
Reported information must include any new diagnoses, changes in medications, surgical procedures, allergies, and significant health events experienced by the patient.
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