Get Ks Wichita Urology Group Medical History Form 2015-2025

Completing the KS Wichita Urology Group Medical History Form online is a straightforward process designed to gather important health information. This guide will walk you through each section of the form to ensure you provide complete and accurate details.

Follow the steps to fill out the medical history form efficiently.

1. Click ‘Get Form’ button to access the medical history form and open it in your chosen editor.
2. Begin by entering your personal information, including your name, date of birth, and age. This information is crucial for identifying your medical history.
3. Next, provide details about your family doctor, including their name and city, and any other doctors currently involved in your care.
4. Describe the reason for your visit by writing your chief complaint in the designated field. This helps prioritize your needs during your appointment.
5. In the 'Patient Past Medical History' section, place a checkmark next to any medical conditions that apply to you. This section covers various diseases, surgeries, and other relevant medical history.
6. Fill out the 'Surgical History' section by checking any surgeries you have undergone. Be sure to include general, orthopaedic, and urologic specific procedures as applicable.
7. Complete the 'Urologic Surgical History' if relevant to your past treatments, specifying any procedures like lithotripsy or prostate surgery.
8. Next, navigate to the 'Social History' section and provide information about your smoking, alcohol consumption, and illicit drug use, if any.
9. Fill in your marital status, number of children, and occupation in the 'Family History' section, highlighting any pertinent medical histories in your family.
10. Lastly, list your current medications, including vitamins and supplements, as well as any medication allergies along with the type of reactions you experience.
11. After completing the form, you can save your changes, download a copy, print the document for your records, or share it electronically as needed.

Complete your medical history form online today to ensure your health needs are addressed accurately.