Confidential medical history (2)

CONFIDENTIAL MEDICAL HISTORY
Patient Name: ___________________________________________________________
Please answer ALL questions. If you do not know the answer, or do not understand the
question, insert a ? in the space.

Nature of complaints: ____________________________________________________
GENERAL HEALTH

Do you smoke? ____ How many packs a day? ____ For how long? _____ Year quit ____
Alcoholic beverages per day: _____________ Coffee/Tea per day: __________________
Do you have any allergies to any medications? _________________________________
If so, what type of reaction do you have? ______________________________________
Any prior blood transfusions? _______________________________________________
PAST MEDICAL HISTORY

Do you have or have you ever had any major illness? (Diabetes, heart disease, high blood
pressure, kidney disease, stroke, etc.)
1. ______________________________________________Year Diagnosed: __________
2. ______________________________________________Year Diagnosed: __________
3. ______________________________________________Year Diagnosed: __________
SURGICAL HISTORY

Operation
1. ______________________________________________________ Year: __________ 2. ______________________________________________________ Year: __________ 3. ______________________________________________________ Year: __________ 4. ______________________________________________________ Year: __________ 5. ______________________________________________________ Year: __________ 6. ______________________________________________________ Year: __________ 7. ______________________________________________________ Year: __________ 8. ______________________________________________________ Year: __________ 9. ______________________________________________________ Year: __________ 10. _____________________________________________________ Year: __________ Current Medications: ______________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Do you take Aspirin? ______________________________________________________ Do you take Coumadin? ____________________________________________________ Do you take Plavix? _______________________________________________________ Do you take Pradaxa? _____________________________________________________ Do you have or have you ever had:
Abnormal bleeding or anemia……….Y N
Difficulty climbing stairs ………. Y N Hypertension ………………………. Y N Ulcer or Gastritis………………. Y N
Weight Loss …………………………Y N Difficulty swallowing …………… Y N
Fits/convulsion/seizures……………. Y N Numbness ………………………. Y N
Double vision ………………………. Y N Paralysis ………………………… Y N
Sudden visual loss …………………. Y N Diabetes ………………………… Y N
Decreased hearing …………………. Y N Stroke …………………………… Y N
Shortness of breath ………………… Y N Heart surgery ……………………. Y N
Loss of memory……………………. Y N Chest pain ………………………. Y N
Metal in body ………………………. Y N Claustrophobia …………………. Y N
Family History
Any illnesses that run in the family: _________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Causes of death for immediate family members: _______________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
History of prior injuries (work related/ Non work related):
Nature: _______________________________________________________________________
How treated: __________________________________________________________________
Year: _________________________________________________________________________
Nature: _______________________________________________________________________
How treated: __________________________________________________________________
Year: _________________________________________________________________________
Nature: _______________________________________________________________________
How treated: __________________________________________________________________
Year: _________________________________________________________________________
Signature _______________________________________________ Date: _________________

Source: http://ljna.net/docs/CONFIDENTIAL-MEDICAL-HISTORY(2).pdf

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