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Katakana Name: Special / Basic Health Checkups Questionnaire 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Date of birth: (Mon) (Day) (Year) Questions regarding medications you are
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How to fill out special basic health checkups

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In order to fill out special basic health checkups, you can follow these steps:

01
Gather necessary information: Start by collecting all the required documents and information needed for the health checkup. This may include your personal details, medical history, and any specific instructions given by the healthcare provider.
02
Complete the paperwork: Fill out all the forms provided by the healthcare facility accurately and legibly. Make sure to provide correct information regarding your personal details, medical conditions, and any medications you are currently taking.
03
Follow the instructions: Read any specific instructions or guidelines provided by the healthcare facility regarding the checkup. This may include fasting requirements, specific clothing to wear, or any necessary preparations such as avoiding certain medications.
04
Be prepared for tests: Special basic health checkups may involve various tests such as blood tests, urinalysis, X-rays, or other diagnostic procedures. Make sure to understand what tests are included in your checkup and be prepared for them by following any specific instructions provided, such as fasting or drinking plenty of water beforehand.
05
Follow any dietary restrictions: Some health checkups may require you to follow specific dietary restrictions, such as avoiding certain foods or beverages. Make sure to comply with these restrictions to ensure accurate results from the tests.
06
Attend the checkup appointment: Arrive on time for your scheduled checkup appointment. Bring all the required documents, including identification and insurance information, if necessary.
07
Communicate with the healthcare provider: During the checkup, communicate any relevant information or concerns to the healthcare provider. This may include discussing any symptoms you have been experiencing, changes in your medical history, or any specific questions you may have.

Who needs special basic health checkups?

Special basic health checkups are often recommended for individuals who:

01
Have a family history of certain diseases or medical conditions: If you have a family history of diseases such as diabetes, heart disease, or cancer, it is recommended to undergo regular health checkups to monitor your health and catch any potential issues early.
02
Are at a certain age: As we age, the risk of developing certain medical conditions increases. Therefore, special basic health checkups are often encouraged for individuals in specific age groups, such as annual checkups for adults and regular screenings for certain cancers for individuals over a certain age.
03
Are at higher risk due to lifestyle factors: Individuals with certain lifestyle factors, such as smoking, obesity, sedentary lifestyle, or unhealthy dietary habits, may require more frequent or specific health checkups to monitor their overall health and address any potential risks.
04
Have a chronic medical condition: Individuals with chronic medical conditions, such as diabetes, hypertension, or asthma, may need regular checkups to monitor their condition, adjust treatment plans, and prevent any complications.
05
Are planning for a specific event: In some cases, individuals may need special basic health checkups before participating in certain events or activities. This may include pre-employment checkups, sports physicals, or travel-related checkups.
It is important to consult with a healthcare provider to determine the appropriate frequency and type of health checkups based on individual factors and medical history.
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Special basic health checkups are comprehensive medical examinations that focus on detecting potential health issues early on.
Individuals who are covered under certain health insurance plans may be required to undergo and file special basic health checkups.
Special basic health checkups can typically be filled out by visiting a healthcare provider or clinic that offers the service.
The purpose of special basic health checkups is to monitor and assess an individual's overall health and to detect any underlying medical conditions.
Information such as personal medical history, current medications, family history of illnesses, lifestyle habits, and the results of various medical tests may need to be reported on special basic health checkups.
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