HISTORY FORM

(Must be completed for all initial visits or yearly)

Name

Date

Past Hospitalization or Surgery

REASON

DATE

Women Only:

Pregnant?

Yes No

Planning Pregnancy?

Yes No

General History:


Have you had?

Yes

No

1.

Loss of Consciousness

2.

Frequent headaches

3.

Dizziness of fainting spells

4.

Mental, brain, nervous trouble

5.

Fits, epilepsy, convulsions

6.

Lung disease or emphysema

7.

Asthma, hay fever, sinus

8.

Blindness, color blindness

9.

Ear trouble, decreased hearing

10.

Ringing in the ears

11.

Diabetes, frequent boils

12.

Tuberculosis

13.

Chest pains ro discomfort

14.

Coughing or wheezing

15.

Heart trouble/heart attack/stroke

16.

High blood pressure

17.

High blood pressure

18.

Stomach trouble, ulcers

19.

Thinking or sleeping trouble

20.

Gall bladder or liver desease

21.

Yellow jaundice or hepatitis

22.

Blood in stool or urine

23.

Change in bowel habits

24.

Skin deisease or rash

25.

Kidney trouble/stones

 

Do you smoke?

 

Do you drink alchohol?

26.

Rupture of hernia

27.

Varicose veins, let ulcers

28.

Rheumatism, arthritis, goul

29.

Deformity, amputation

30.

Stiff joints, trick shoulders, or knees

31.

Back trouble

32.

Scars, identifying marks

33.

Cancer or tumor

34.

Blood disease or anemia

35.

Military service

36.

Rejected for military service

37.

Eye trouble, vision problem(s)

38.

Unusual weight gain or loss

39.

Are glasses adequate?

40.

Ever x-rated? When

41.

Seen a doctor in the last 2 years

42.

Ever rejected for life insurace?

43.

Have you ever ben rejected for employment for medical reasons?

44.

Serious infections

45.

Urine problems

46.

Thyroid, gland disease

47.

Any relative with (TB, diabets, cancer)

48.

Ever seen a counselor, psychiatrist

49.

Tuberculin test

 

If yes, how much?

 

If yes, how often?

Are you unable to perform certain motions, assume positions, or lift heavy objects?

Yes No Exercise Routine:

Remarks (indicate item # & Year)

Family History:

Fill in completely for living and deceased relatives:

RELATION

Maternal Grandmother

Maternal Grandfather

Paternal Grandmother

Paternal Grandfather

Father

Mother

Husband/ Wife (name)

Children (names)

 

Age of living

Age of death

Cause of Death (If known)

DISEASE

 

Heart Attach

High BP

Stroke

Kidney Disease

Tuberculosis

Cancer

Epilepsy

Allergy

Asthma

Glaucoma

Psychiatric Illness

Alchoholism

Specify If Other

 

Genitourinary Tract

WOMEN

Yes

No

Breast problems or breast surgery

Abnormal mammogram

Abnormal pap smear

Vaginal discharge

IIrregular periods of spotting

Recurrent vaginal area rash or

discomfort at time of periods

Pain with intercourse

CONTRACEPTION: (Birth Control Methods)

Tubal Ligation

Condoms and/or foam

Birth control pills

IUD (loop, spring, copper 7 or T, etc.)

Diaphragm

Any other method of contraception

Are you pregnant?

Age at first menstrual period

Date of last mentrual period

Date of period before that

Usual time from beginning of menstrual period to beginning of next in days

Please indicate following numbers:

 

Pregnancies (total number)

Deliveries (total number)

Premature deliveries

Miscarriages

Abortions

Cesarean sections

Living children

Other surgical procedures dealing with pregnancy