Get Historial Medico

Filling out the Historial Medico is an essential step in ensuring your child's health information is accurately documented. This guide provides a clear and supportive approach to completing each section of the form online.

Follow the steps to complete the Historial Medico online successfully.

1. Click ‘Get Form’ button to access the online Historial Medico and open it for editing.
2. Begin by providing basic information for your child, including their full name, nickname, and date of birth. Describe your child's temperament to give healthcare providers a better understanding of their character.
3. Indicate the name of the parent or legal guardian completing the form and specify who has custody of the child.
4. In the dental section, record the name and contact information of your child's previous dentist. Indicate if there are any specific dental issues to address today and provide the date of the last dental checkup along with any procedures that took place.
5. Respond to questions about your child's dental habits, such as whether they take bottles at night or drink tap water. Also, disclose any negative experiences your child may have had with dental visits.
6. Next, in the medical section, enter the child's primary physician's name and telephone number, as well as the date of their last physical examination.
7. Circle any medical conditions that apply to your child from the provided list and provide dates for any hospitalizations or surgeries.
8. Note any allergies or adverse reactions to medications, and list any current medications or dosages your child is taking.
9. In the section for female patients, address any possible pregnancies and contraceptive use. Provide your signature and the date to finalize the document.
10. Review all entered information for accuracy. Save your changes, and you may choose to download, print, or share the completed form for your records.

Complete your Historial Medico online today to ensure your child's health information is up to date.