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Get NC Wake Forest Family Physicians Patient History Form 2011-2024
Date of Birth: Sex: Medical History: Have you ever had any of the following? (Please check ALL that apply) Smoke Back Problems Use Alcohol Diabetes Drug Use Asthma Heart Problems Emphysema High Blood Pressure Epilepsy Low Blood Pressure Headaches Circulatory Problems Hepatitis, Jaundice, or Liver Disease Nervous Problems Cancer Radiation Treatment Psychiatric Care Artificial Heart Valves or Joints.
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Anesthetic FAQ
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A complete personal medical record should include the following information: Your diagnosis, including the specific cancer type and stage. Date you were diagnosed. Copies of diagnostic test results and pathology reports.
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There is no one timeline for retaining and storing medical records. This is because HIPAA laws demand the users to store the medical records for six years, while federal law demands them to retain the medical records for at least seven years after the medical service is provided to the patients.
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What is the status of a medical record if the patient's last appointment was 5 years ago? All corrections to medical records should be initialed and dated.
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How you make your request will depend on your provider's processes. You may be able to request your record through your provider's patient portal. You may have to fill out a form — called a health or medical record release form, or request for access—send an email, or mail or fax a letter to your provider.
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