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CAROLINA FOOT & ANKLE ASSOCIATES MEDICAL HISTORY Patient Name: ___ Date of Birth: ___ Appointment Date: ___ Name of Primary Care Physician: ___ Last seen (Month/Year) ___ Preferred Pharmacy: ___ City:
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Start with the title 'Have You Ever Been?' on the form.
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Read each question carefully to understand what is being asked.
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For each question, think about your personal experiences that relate to it.
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Answer truthfully; if you have experienced the situation, mark 'Yes.' If not, mark 'No.'
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The phrase 'have you ever been' typically refers to a question asking if someone has previously experienced or attended a specific event or place.
Individuals who are filling out certain applications or forms, such as job applications or immigration documents, may be required to declare their previous experiences, which can include criminal history or places they have lived.
To fill out a section asking 'have you ever been,' you should answer truthfully, providing relevant details such as dates, locations, and descriptions of the experiences or circumstances being inquired about.
The purpose of asking 'have you ever been' is to gather information regarding an individual's past experiences, which may be pertinent to the context of the application, such as employment suitability or legal eligibility.
Information that must be reported typically includes specific experiences related to criminal history, previous residences, or other relevant experiences as required by the form or application.
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