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    Adult Health History Form

    Frequently Asked Questions

    How do I complete the form?

    Click here for a section-by-section guide through our Adult Health History Form (.pdf).
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    Why do I need to fill in this form?

    Your doctor will discuss all the subjects on the form with you during your physical. The form not only provides important information for your doctor, it also helps you get the most out of your appointment time. Use the form to prepare for your physical and note down any questions you might have for your doctor.
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    I’ve filled this form out once before, why do I have to do it again?

    One of the main reasons for regular physicals is that our health changes. You may have new symptoms, allergies, health issues, take different medications or have changes in your family history or social habits. If your information in certain sections has not changed, you can skip those.
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    Isn’t all this information already in my Electronic Health Record (EHR)?

    Some of the information might be recorded in your EHR, but it won’t be if you have received care outside of our system. Additionally, information from another doctor's notes may not be readily available at a glance. Important health information is always summarized in your EHR. Your doctor will make sure this information is updated properly.
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    Do I have to repeat my medications and medical problems?

    To save time you can print out your medication summary from My Health Online, make any corrections on the printed copy and bring it with you to your appointment. Update your medication record by letting us know about medications not currently in use and dosage changes (such as cutting a tablet in half or changing the frequency). You can also save time and help us keep an accurate medication record by bringing all your pill bottles with you to your appointment.
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    I hate filling out forms, do I really need to do this?

    Providing us with all the important details about your health, helps us take the best possible care of you. Completing our Adult Health History Form ahead of your visit will ensure you get the most out of your time with your doctor and might save you a return visit.
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