Get Name: Date: Coronary Risk Factors 1) How Many Close ... - Csmc

Completing the Name: Date: CORONARY RISK FACTORS 1) How Many Close ... - Csmc form is an essential step in assessing your cardiac health. This guide will provide clear instructions on filling out each section effectively and accurately, ensuring you provide all necessary information regarding your coronary risk factors.

Follow the steps to accurately fill out your coronary risk factors form online.

1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Fill in the 'Name' section with your full name as it appears on your identification.
3. Enter the 'Date' in the format MM/DD/YYYY, ensuring you provide the current date.
4. In the section labeled 'CORONARY RISK FACTORS', begin by answering question 1 regarding close blood relatives who had coronary heart disease before age 60, indicating the number of relatives.
5. Proceed to question 2 where you will indicate if you have ever been diagnosed with conditions such as high blood pressure, diabetes, or high cholesterol. Include the year diagnosed and whether it has been treated.
6. For question 3, provide your most recent and highest cholesterol levels and their approximate dates, marking 'unknown' if you do not recall.
7. In the smoking section (section 4), indicate if you have a history of smoking and provide details on duration and amount smoked.
8. Question 6 assesses your prior alcohol consumption. Answer this question by indicating frequency and quantity.
9. Questions 7 and onwards ask about your diet and exercise habits. Be honest and precise about the number of servings of fruits, vegetables, and legumes, as well as your physical activity.
10. After responding to all questions, review your answers for accuracy and completeness.
11. Finally, save your changes, download the document for your records, print it if necessary, or share it as required.

Start completing your health document online to take proactive steps towards your cardiac health.