Get Pre Appointment Questionnaire

Completing the Pre Appointment Questionnaire online is an important step in preparing for your physical exam. This guide will provide you with clear and detailed instructions on how to fill out each section of the form to ensure a comprehensive submission.

Follow the steps to complete the Pre Appointment Questionnaire effectively.

1. Click the ‘Get Form’ button to access the Pre Appointment Questionnaire and open it in your preferred digital environment.
2. Begin by entering your preferred name in the designated field to identify yourself accurately.
3. Provide the best contact number where you can be reached during the day, ensuring that this information is up to date.
4. Indicate whether messages can be left for you by answering the corresponding question.
5. Next, you will address a series of symptoms. Circulate any symptoms currently experienced in the listed categories, including general symptoms and those specific to various body systems.
6. In the females-only section, answer questions related to menstrual cycles and pregnancy history as applicable.
7. For the males-only section, respond to inquiries regarding urinary function and sexual health if relevant.
8. Concisely list your current and past serious health concerns in the medical history section or check the box if no changes apply.
9. Document any hospitalizations and surgeries, again checking the box if no updates are necessary.
10. Detail your family history of relevant health concerns, including age at diagnosis, or check if no changes exist.
11. Provide information about your habits, including exercise, tobacco use, alcohol consumption, and safety practices.
12. In the social section, include details about your work situation, relationship status, and any significant stresses in your life.
13. Finally, review all entered information carefully. Once you have completed the questionnaire, you can save changes, download, print, or share the form as needed.

Take the next step in your health care journey by completing the Pre Appointment Questionnaire online today.