H&P Med / Fam / Social History (DM) Medical Form

Medical History
Past Medical History • • •	Past Medical History Freewrite
Past Surgical History • • •	Comments
Childhood illnesses • • •	Comments
Social History
Occupation
Smoking	Comments
Alcohol	Comments
Other substances

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Published: April 8, 2019, 1:23 p.m.
Doctor: Dr. History Physical
Rating: 0 /

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