0.64 KB Safe To Install
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Specifications
License:
Freeware
Updated:
Downloads:
843
Platform:
Win95,Win98,WinME,WinNT 3.x,WinNT 4.x,Windows2000,WinXP,Windows2003,Windows Vista Starter,Windows Vista Home Basic,Windows Vista Home Premium,Windows Vista Business,Windows Vista Enterprise,Windows Vista Ultimate,Windows Vista Home Premium x64,Windows Vis
Publisher:
e-MedTools(more)
User Reviews:
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Multi-table new patient questionnaire?
Publisher's Descriptions
The FREE gray multi-table 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

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