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Download your Health History document here to print and fill 2026

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The document is a comprehensive patient questionnaire for an allergy clinic, designed to gather detailed information about the patient's allergy symptoms, triggers, previous treatments, family history of allergies, and dietary habits. It includes sections for patients to check off specific problems they have experienced, note the timing and conditions under which symptoms occur, and provide information on past medical treatments and family health history related to allergies.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name, date of birth, and today's date at the top of the form.
In section A, check any symptoms you have experienced and note when they started. This helps provide a clear health history.
Proceed to section B, where you will indicate if symptoms occur at specific times or locations. Be as detailed as possible for accurate assessment.
Continue through sections C to K, checking relevant boxes and providing additional information as needed. Each section is designed to gather comprehensive details about your health history.
Finally, review all entries for accuracy before saving or printing the completed document for your records.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I check my medical records in the UAE?

Smart Patient Portal. It is an online portal where a user can access his/her medical records; view laboratory tests, radiology reports, and other related documents; check schedule for medicines and vaccinations; verify health problems and allergies; and book, cancel or change upcoming appointments.

Can you use myGP on a computer?

Depending on the computer system your practice uses, you will be able to access GP medical records online in the myGP app. If it is not currently supported at your practice, you will see a coming soon screen.

Where can I get a medical letter?

Medical certificates in Kenya can be issued by: General Practitioners (GPs): Licensed medical doctors providing primary healthcare services. Specialists: Medical professionals with advanced training in specific fields.

How do I download my GP health records?

You can view your GP health record using the NHS App or by logging into your account on the NHS website. You can create an account if you do not already have one. To view your GP record online, you must be: registered with a GP surgery.

How do I get a health history?

Check their website: Information about how to get your health record may be found under the Contact Us section of a providers website. It may direct you to an online portal, a phone number, an email address, or a form. Phone or visit: You can also call or visit your provider and ask them how to get your health record.

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How to get summary care record from GP?

You can use your NHS account (through the NHS website or NHS App) or Patient Access to access your Summary Care records. Using our online patient service called Patient Access, you can: View parts of your GP record, including information about medication, allergies, vaccinations and test results.

Download your Health History document here to print and fill 2026

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