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Past health history
Past health history includes the patient's past illnesses such as childhood illnesses, accidents, hospitalizations, and operations. Because the patient is describing a past accident, it should be documented under the past health history section. The patient is not mentioning any signs and symptoms; therefore, this should not be included in the reason for seeking care section. The patient is not mentioning present health status; therefore, this should not be included in the history of present illness. The patient does not mention daily activities; therefore, this should not be included under the "functional assessment" section.
Test-Taking Tip: You have at least a 25% chance of selecting the correct response in multiple-choice items. If you are uncertain about a question, eliminate the choices that you believe are wrong, and then call on your knowledge, skills, and abilities to choose from the remaining responses.
1] The patient's full name and address
2] Name of the medical practice releasing the information
3] Name of the individual or facility to receive the information
4] Specific information to be released
5] The purpose of or need for the information
6] Method of release of the information
7] Signature of the patient or his or her legal representative
8] Date that the consent from was signed
9] Expiration date of the consent form
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