Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?) Source and Reliability of Informant: Past Use of Health Care System and Health Seeking Behaviors: Present Health or History of Present Illness:
Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)
Source and Reliability of Informant:
Past Use of Health Care System and Health Seeking Behaviors:
Present Health or History of Present Illness:
Past Health History
General Health: (Patient’s own words)
Allergies: (include food and medication allergies)
Reaction:
Current Medications:
Last Exam Date: Immunizations:
Childhood Illnesses:
Serious or Chronic Illnesses:
Past Health Screening (see “Well Young Adult Behavior Health Assessment History Screening” below)
Tuberculosis:
Obstetric History (if applicable)
Gravida: Term: Preterm: Miscarriage/Abortions:
Course of Pregnancy (length of pregnancy, delivery date, method of delivery, length of labor, complications, baby’s weight, baby’s condition):
Well Young Adult Behavioral Health History Screening
Socio-Demographic Content and Questions:
What organizations or activities (community, school, church, lodge, social, professional, academic, sports) are you involved in?
How would you describe your community?
Hobbies, skills, interests, recreational activities?
Military service: Yes_______ No_______
If yes, overseas assignment? Yes________ No_________
Close friends or family members who have died within past 2 years?
Number of relatives or close friends in this area?
Marital status: Single______ Married________Divorced_________Separated_________
In serious relationship________Length of time_________
Environmental Content and Questions:
Do you live alone? Yes________ No ________
When did you last move?
Describe your living situation?
Number of years of education completed?
Occupation?
If employed, how long?
Are you satisfied with this work situation?
Do you consider your work dangerous or risky?
Is your work stressful?
Over the past 2 years have you felt depressed or hopeless?
Biophysical Content and Questions
Have you smoked cigarettes? Yes_
Having Trouble Meeting Your Deadline?
Get your assignment on Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?) Source and Reliability of Informant: Past Use of Health Care System and Health Seeking Behaviors: Present Health or History of Present Illness: completed on time. avoid delay and – ORDER NOW
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.