CASE HISTORY

 

 

Name ____________________________________  Today’s Date _________________

 

Please describe the health problem for which you came to our office:________________

_______________________________________________________________________

 

Have you seen another doctor for this condition? No   Yes  if yes explain ____________

_______________________________________________________________________

 

Are you currently taking any medication, prescription or over-the-counter?  No   Yes  if yes explain______________________________________________________________

 

Are you currently under the care of another physician for any condition(s)? No   Yes  if yes explain______________________________________________________________

 

Have you ever been diagnosed with any of the following conditions?

 

AIDS/HIV               Cataracts                                 Hepatitis                 Osteoporosis          Suicide Attempt

Alcoholism              Chemical Dependency            Hernia                     Pacemaker               Thyroid Problems

Allergies                  Chicken Pox                            Herniated Disc        Parkinson’s             Tonsillitis

Anemia                    Depression                              Herpes                    Pinched Nerve         Tuberculosis

Anorexia                  Diabetes                                  High Cholesterol     Pneumonia              Tumors/Growths

Appendicitis           Emphysema                            Kidney Disease       Polio                        Typhoid Fever

Arthritis                  Epilepsy                                 Liver Disease          Prostate Problems   Ulcers

Asthma                   Fractures                                 Measles                   Prosthesis               Vaginal Infections

Bleeding Disorders  Glaucoma                                Migraines                Psychiatric Care      Venereal Disease

Breast Lump           Goiter                                      Miscarriage             Rheumatoid Arth.   Whooping Cough

Bronchitis               Gonorrhea                               Mononucleosis       Rheumatic Fever     Other ___________

Bulimia                    Gout                                        Multiple Sclerosis   Scarlet Fever           ________________

Cancer                     Heart Disease                          Mumps                   Stroke                      ________________

 

Date(s) of last exam(s) _____________________________________________________

 

List all surgeries with dates _________________________________________________

________________________________________________________________________

 

What type of exercise do you perform and how often: ____________________________

________________________________________________________________________

 

What are your daily work habits (ex: sitting, lifting, heavy lifting, typing, computer input)

________________________________________________________________________________________________________________________________________________

 

Do you smoke?  No  Yes  if Yes how much _________________

Do you drink alcohol?  No  Yes  if Yes what and how much per week _______________

Do you drink caffeinated beverages No  Yes  if yes what and how much/wk __________