Comprehensive Medical History Form-Microsoft .DOCX, editable, reusable-#MEDDOC
ITEM IS NOT SOLD OUT. To purchase, please email $9.95 via PayPal.com to: info@a1alarmprotection.com. We will email you the Medical History Form within 24 hours.
20% of all sales is donated to the Disabled American Veterans. (DAV)
Thank you for viewing this Medical Information form. It was designed because I got sick and tired of filling in the same information every time I went to a new medical provider. It was created with the idea that you can do the following:
1. Fill in your personal and medical information 1 time
2. Save a copy and update/edit it as needed
3. Print and/or email copies as needed to your medical providers and family members
4. Fill in as much or as little as you want. Even customize it for any provider
5. This document is protected from editing the layout.
6. Make multiple copies of this document file and create a medical history for each family member
7. As you fill in your information, the modules & pages will adjust. Please review before printing or emailing
8. While all of the information you provide is voluntary, we encourage you to give your medical provider as much accurate information as possible so they can provide the correct treatments for you. If you don’t feel like putting something on the form, at least discuss the issue with them before treatments begin.
9. The last page was designed for you to have your medical provider fill out and sign as a receipt for receiving this document. Use this page only if you feel it’s necessary to have a receipt.