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History and physical Name: Date: social: Age: Sex: M F Married: Yes No Occupation: Responsible adult available to assist during recovery period: Yes No Relationship: habits: Smoke, Amount Alcohol,

How to fill out history and physical

How to fill out history and physical:

1. Gather the patient's medical history, including any previous medical conditions, surgeries, allergies, and current medications.
2. Conduct a thorough physical examination, assessing the patient's vital signs, general appearance, and specific body systems.
3. Document all findings, including any abnormalities or concerns, in a clear and organized manner.
4. Prepare a summary of the patient's medical history, physical examination, and any relevant diagnostic tests or procedures.
5. Review and verify all information with the patient, ensuring accuracy and completeness.

Who needs history and physical:

1. Patients who are scheduled for surgery often require a history and physical to assess their overall health and identify any potential risks.
2. Individuals seeking employment in certain industries, such as healthcare or aviation, may need to undergo a history and physical examination as part of the pre-employment process.
3. Individuals applying for life insurance or certain types of disability benefits may be required to provide a history and physical report to the insurance company to assess their insurability or eligibility.

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What is history and physical?

History and physical is a medical document that contains information about a patient's medical history, current health status, and physical examination findings.

Who is required to file history and physical?

Healthcare professionals such as doctors, nurses, or medical practitioners are required to file history and physical for their patients.

How to fill out history and physical?

History and physical forms are typically filled out by gathering information from the patient through a questionnaire, conducting a physical examination, and recording the findings in the designated sections of the form.

What is the purpose of history and physical?

The purpose of history and physical is to provide healthcare providers with essential information about the patient's medical history, current health status, and physical examination findings, which aids in diagnosis, treatment, and overall patient care.

What information must be reported on history and physical?

The information reported on history and physical may vary but generally includes the patient's medical history (such as previous illnesses, surgeries, and medications), current symptoms, physical examination findings, vital signs, and any relevant test results.