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    Health History

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    traderearl
    This health history document contains information about a patient's name, gender, ethnicity, marital status, chief complaint, present and past health issues including childhood illnesses, accidents or injuries, chronic illnesses, hospitalizations, obstetric history, immunization dates, last physical exams, allergies, and current medications. It is designed to collect a comprehensive medical history to inform a healthcare provider about a patient's full health background in a structured format.

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    Health History

    Uploaded by

    traderearl
    12 views2 pages
    This health history document contains information about a patient's name, gender, ethnicity, marital status, chief complaint, present and past health issues including childhood illnesses, accidents or injuries, chronic illnesses, hospitalizations, obstetric history, immunization dates, last physical exams, allergies, and current medications. It is designed to collect a comprehensive medical history to inform a healthcare provider about a patient's full health background in a structured format.

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    This health history document contains information about a patient's name, gender, ethnicity, marital status, chief complaint, present and past health issues including childhood illnesses, accidents or injuries, chronic illnesses, hospitalizations, obstetric history, immunization dates, last physical exams, allergies, and current medications. It is designed to collect a comprehensive medical history to inform a healthcare provider about a patient's full health background in a structured format.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    12 views2 pages

    Health History

    Uploaded by

    traderearl
    This health history document contains information about a patient's name, gender, ethnicity, marital status, chief complaint, present and past health issues including childhood illnesses, accidents or injuries, chronic illnesses, hospitalizations, obstetric history, immunization dates, last physical exams, allergies, and current medications. It is designed to collect a comprehensive medical history to inform a healthcare provider about a patient's full health background in a structured format.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    of 2

    Health History

    Name Date Location

    Gender M / F Ethnicity Religious Preference

    Marital Status Source

    Chief Complaint

    Present Health

    Past Health
    Childhood Ilnesses: Measles, mumps, rubella, chicken pox, pertussis, and strep throat

    Accidents or Injuries

    Chronic Illness: Diabetes I or II, HTN, heart disease, siezures, MI


    Hospitalizations

    OB Grav Term Preterm Ab Living

    Immunization Dates
    MMR Polio Tetanus
    Flu shot Pneumococcal Diptheira
    Hep B TB Pertussis

    Last Physical Exam Dental Vision


    ECG Hearing Chest Xray
    Allergies and their reactions

    Current Medications

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