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Questions for family physicians
and health professionals to ask
when cognitive impairment
is suspected
Cognitive impairment occurs along a continuum from mild subjective memory complaints
occurring
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How to fill out questions for family physicians

How to fill out questions for family physicians:
01
Start by gathering all necessary information before filling out the questions. This may include personal details, medical history, current symptoms or concerns, and any previous medical records or test results.
02
Carefully read and understand each question before answering. If you are unsure about a particular question or term, don't hesitate to ask for clarification from the family physician or their staff.
03
Provide accurate and detailed information in each response. It is crucial to be truthful and transparent when answering the questions as this will help the family physician in making an accurate assessment and diagnosis.
04
Take your time while filling out the questions. Rushing through the process may result in missing important details or making errors in the responses. Double-check your answers before submitting them.
05
In case you are unable to answer a question or do not have the required information, it is essential to indicate that or seek the assistance of the family physician or their staff to provide the necessary details.
Who needs questions for family physicians?
01
Patients seeking medical care: Individuals who need medical assistance or have specific health concerns will need to fill out questions for family physicians. This includes both new patients as well as existing patients visiting for follow-ups or addressing new health issues.
02
Family members and caregivers: In some cases, family members or caregivers may be responsible for filling out the questions on behalf of the patient. This could be due to the patient's age, physical condition, or if they are unable to communicate their health history effectively.
03
Medical professionals and specialists: Questions for family physicians may also be required for referrals or consultations with other medical professionals and specialists. It helps provide a comprehensive overview of the patient's medical history, current health status, and any specific concerns that need attention.
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