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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
A medical history form is filled out to provide a patient’s current medical record and history. It helps medical professionals determine the best possible medical treatment for patients by determining past, and possibly correlated, medical conditions.