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We need this information before your consultation. Your medical history helps us provide you with the best possible care.

Current Medications

Are you currently taking any medications? (Include prescriptions and supplements)

Medical Conditions

Do you have any current or past medical conditions? (e.g., Diabetes, Asthma, High Blood Pressure)

Surgeries

Have you had any previous surgeries? (e.g., Appendectomy, Knee Replacement)

Allergies

Do you have any known drug allergies? (e.g., Penicillin, Sulfa, Codeine)

Social History

This helps your doctor understand your lifestyle. Fields marked with * are required.


Family History

Does anyone in your immediate family have significant medical conditions? (e.g., Heart Attack, Cancer, Diabetes) (optional)

Immunizations

Do you know any of your vaccination history? This step is optional — you can add these later.

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You're All Set!

Your medical profile is now complete. Your doctor will have access to this information during your consultations. You can update it anytime from your Medical History page.