Rush copley 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name, birthdate, and today's date at the top of the form. This information is essential for identifying your medical history.
3. In the medication allergies section, list any allergies you have to medications. This helps healthcare providers avoid prescribing harmful substances.
4. Next, detail your current medications, including prescription and over-the-counter drugs. Fill in the name, dose, frequency, and reason for each medication.
5. For health history, check applicable conditions and indicate how many years you've had them. This provides a comprehensive view of your health background.
6. Complete the hospitalization section by listing any significant operations or illnesses along with the year and hospital details.
7. Fill out women's health questions if applicable, including pregnancy history and recent screenings like mammograms or PAP smears.
8. Provide family health history to help identify potential genetic risks associated with various conditions.
9. Lastly, answer social history questions regarding lifestyle habits such as smoking and alcohol consumption to give a complete picture of your health.

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