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HEALTH ASSESSMENT Name: Date of Birth: What is your height: Ft. In. Weight: Identify any problems found during physical exam: lbs. Immunizations up to date? Medication Prescription Sleep Do you currently
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How to fill out health assessment - Alexian:

01
Start by carefully reading through each section of the health assessment form.
02
Provide accurate and detailed information about your medical history, including any pre-existing conditions, previous surgeries, and current medications.
03
Fill in your personal details, such as name, date of birth, and contact information, ensuring that all information is up to date.
04
Answer all questions honestly and to the best of your knowledge. If you are unsure about any question, it's better to leave it unanswered or consult with a healthcare professional for clarification.
05
Pay attention to any specific instructions or additional forms that may need to be completed alongside the health assessment form.
06
Once you have completed the form, review it to make sure all sections have been filled out accurately and completely.
07
Sign and date the form as required.
08
Submit the health assessment form to the designated party, such as a healthcare provider or insurance company, as instructed.

Who needs health assessment - Alexian:

01
Individuals who are seeking medical services at Alexian Hospitals or clinics may be required to complete a health assessment form. This can include new patients, as well as existing patients who are undergoing a specific treatment or procedure.
02
Health assessments are often necessary for insurance purposes, as insurance companies may request a comprehensive overview of an individual's health status before approving certain procedures or coverage.
03
Employers may also request employees to complete a health assessment as part of their workplace wellness program or for occupational health and safety reasons.
04
Some educational institutions, especially those in healthcare-related fields, may require students to undergo health assessments to ensure their ability to participate in clinical placements and meet specific health requirements.
It's important to note that the specific requirements and circumstances for needing a health assessment - Alexian may vary depending on the individual and the purpose of the assessment. It's always best to consult with the relevant parties for accurate and up-to-date information.
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