Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out social history medical with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
Click ‘Get Form’ to open the social history medical form in the editor.
Begin by filling out the 'Patient Information' section. Enter your last name, first name, middle initial, birthdate, and contact numbers. Indicate if it's okay to call you at home and work.
In the 'Spiritual/Cultural Issues' section, specify your religion and whether it plays a significant role in your life.
Complete the 'Primary Physician(s)' section with your physician's name, address, phone number, and details of your last visit.
Fill out the 'Family History' section by checking any relevant conditions that apply to your family.
In the 'Medications' section, list current medications along with their purpose and dosage. Include any past medications as well.
Address the 'Social Risk History' questions honestly regarding smoking, alcohol use, drug use, and herbal supplements.
Review all sections carefully before signing at the bottom to certify that your answers are accurate.
Start using our platform today for free to complete your social history medical form effortlessly!
We've got more versions of the social history medical form. Select the right social history medical version from the list and start editing it straight away!
A client history , also known as a social history, is the relevant background information of a clients life that will be helpful in determining what courses of action need to be taken in providing therapy for the client.
Which elements should be included in a social history?
Psychosocial (Social) History: Stressors (financial, significant relationships, work or school, health) and support (family, friends, significant other, clergy); life-style risk factors, (alcohol, drugs, tobacco, and caffeine use; diet; and exposure to environmental agents; and sexual practices); patient profile (may
Why do doctors ask about social history?
Along with the chance to connect with the patient as a person, the social history can provide vital early clues to the presence of disease, guide physical exam and test-ordering strategies, and facilitate the provision of cost-effective, evidence-based care.
What is social history in healthcare?
The Social history section on the patient Summary contains data elements including, tobacco use, alcohol use, financial resources, education, physical activity, stress, social isolation and connection, and exposure to violence.
What is social history in the medical field?
Family History: The review of the patients family and their medical events, including diseases which may be hereditary or place the patient at risk. Social History: An age appropriate review of past and current activities (i.e. job, marriage, exercise, marital status, etc.)
Related Searches
Social history medical questionsSocial history medical exampleSocial history medical abbreviationWhat is included in social history medicalSocial history medical definitionSocial history medical pdfPersonal and social history medicalPast medical history
Social History: Patient is a high school graduate, working as an electrician, living with his wife of 25 years and 2 dogs. Patient feels safe and well-cared for in his home. He works as an electrician, a job with daily physical exertion that requires climbing ladders and the lifting of heavy objects.
What are 6 components of a social history?
Social History (SH): An age appropriate review of the patients past and current activities which may include significant information about: Marital status and/or living arrangements. Current employment. Occupational history. Use of drugs, alcohol or tobacco. Level of education. Sexual history. Other relevant social factors.
Related links
SOCIAL HISTORY HABITS FAMILY
REVIEW OF SYSTEMS: (please check symptoms you have had in the past six months). General: Skin: Eyes: Insomnia. Lesions. Vision changes. Fatigue.
Adult Medical Record Review Tool -- Primary Care Provider
May 30, 2014 Periodic History: Family history, psychosocial and medical-surgical history must contain at least one qualifier. ➢ □ An updated family history.
This site uses cookies to enhance site navigation and personalize your experience.
By using this site you agree to our use of cookies as described in our Privacy Notice.
You can modify your selections by visiting our Cookie and Advertising Notice.... Read more...Read less
