The Center for Dermatology Medical History Form Patient Name Centerfordermatology
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People also ask
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What is the medical history form?
Medical History Form. Record all past and/or concomitant medical conditions or surgeries. Record only one condition or surgery per line using the codes provided in the table. When recording a condition and surgery related to that condition use one line for the condition and one line for the surgery.
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Who completes the patient's medical history form?
Adult patients may complete their own histories, and minor children must have a parent or guardian complete their history.
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