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Colorful new patient questionnaire 1.0

http://www.e-medtools.com/HCC_Questions_Colorful.html

The FREE colorful table format Health Care Consumer Questionnaire is a comprehensive medical history form designed to be filled out by the health care consumer prior to a visit with a health care provider. This MedicalTemplate is appropriate for a new patient evaluation or any visit to a health care provider. The Health Care Consumer Questionnaire is a detailed 8-page snapshot of an individual’s current and past medical problems. Information included in the colorful table format Health Care Consumer Questionnaire * Allergies * Medications * Surgeries * Past Medical History * Family Medical History * Review of systems * Social History * Religious and cultural beliefs * Travel history * Occupational history * Carcinogen exposure history * Behavioral risk factors

Screenshot:

Language: English

Size: 652 Kb

License: Freeware

Cost: Free

Last Updated: 2008-02-25 16:43:17

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