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CONFIDENTIAL GENERAL PRE-PLACEMENT MEDICAL HISTORY QUESTIONNAIRE COUNTY OF LOS ANGELES OCCUPATIONAL HEALTH PROGRAMS Please complete this questionnaire in PEN and present to the staff at the examination.
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Refractive FAQ
A personal medical history may include information about allergies, illnesses, surgeries, immunizations, and results of physical exams and tests. It may also include information about medicines taken and health habits, such as diet and exercise.
In general, a medical history includes an inquiry into the patient's medical history, past surgical history, family medical history, social history, allergies, and medications the patient is taking or may have recently stopped taking.
5 Critical Questions to Ask Every Patient What Are Your Medical and Surgical Histories? ... What Prescription and Non-Prescription Medications Do You Take? ... What Allergies Do You Have? ... What is Your Smoking, Alcohol, and Illicit Drug Use History? ... Have You Served in the Armed Forces?
The Rest of the History Past Medical History: Start by asking the patient if they have any medical problems. ... Past Surgical History: Were they ever operated on, even as a child? ... Medications: Do they take any prescription medicines? ... Allergies/Reactions: Have they experienced any adverse reactions to medications?
A health history questionnaire consists of a set of survey questions that help either medical researcher, doctors or medical professional, hospitals or small clinics to understand the population they provide medical services to.
In general, a medical history includes an inquiry into the patient's medical history, past surgical history, family medical history, social history, allergies, and medications the patient is taking or may have recently stopped taking.
A health history questionnaire consists of a set of survey questions that help either medical researcher, doctors or medical professional, hospitals or small clinics to understand the population they provide medical services to.
Personal status. Family and social relationships. Diet and Nutrition. Functional ability. Mental Health. Personal Habits. Health promotion activities. Environment.
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