Family medical history template 2025

1. Click ‘Get Form’ to open the family medical history template in the editor.
2. Begin by entering your current physician's name and contact number in the designated fields. This information is crucial for any future medical consultations.
3. Next, fill out the current and past medications section. For each medication, provide the name, dosage, frequency, start and end dates, prescribing physician, and purpose of the medication.
4. In the surgical procedures section, list any surgeries you have undergone. Include the date of the procedure, type of surgery, physician's name, hospital where it was performed, and any relevant notes.
5. Document major illnesses by specifying each illness along with its start and end dates, treating physician's name, and treatment notes.
6. Finally, complete the vaccinations section by listing all vaccines received along with their dates. Ensure to include common vaccines like tetanus and influenza.

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