Get Comprehensive Patient Medical History Form - Prohealthfp

Filling out the Comprehensive Patient Medical History Form - ProHealthFP online is an important step in providing your clinician with essential information about your health. This guide will walk you through each section of the form, ensuring that you can complete it accurately and efficiently.

Follow the steps to complete your Comprehensive Patient Medical History Form online.

1. Press the ‘Get Form’ button to access the form document and open it in your preferred digital editor.
2. Begin by entering your personal information. Fill in your preferred name, date of birth, and the date you are completing the form. Under 'Current Health Concerns,' describe any health issues you are experiencing.
3. In the 'Medications' section, list all prescription and non-prescription medications you are currently using, including vitamins, supplements, and birth control pills. Provide details by filling in the medication name, dose, and frequency.
4. Identify any drug allergies or reactions in the subsequent field. Indicate whether you have allergies to specific medications or foods by filling out the Medication, Dose, and Frequency sections accordingly.
5. For the 'Personal Medical History' section, review the listed health conditions and mark those that apply to you. Provide explanations for conditions marked, such as heart disease or cancer, in the designated area.
6. In the 'Prior Surgeries and Hospitalizations' section, indicate any surgeries or hospitalizations you have had, including the dates. Note if you received a blood transfusion.
7. Fill out the 'Family History' section by checking off any family members who have had specific medical conditions. If you are unsure about your family history, check the provided option.
8. Complete the 'Social History' section, indicating your usage of tobacco, alcohol, and recreational drugs. Answer the questions regarding your exercise habits and if safety concerns exist within your living situation.
9. Provide your marital status, occupation, education completed, and details about your children in the socioeconomics section.
10. Lastly, circle the immunizations you have received based on your best estimates of when they were given. Once you have completed all sections, review your responses carefully before proceeding.

Start filling out your Comprehensive Patient Medical History Form online today for a smooth and informative experience.