Medical history form definition

Medical history form means the form developed by the state registrar pursuant to subsection 2.[PL 2007, c. 409, §5 (NEW); PL 2007, c. 409, §6 (AFF).]
Sample 1Sample 2Sample 3
Medical history form means the Newson Health Limited medical history Patient questionnaire or pre-consultation questionnaire
Sample 1Sample 2Sample 3

Examples of Medical history form in a sentence

  • Medical history form to be utilized by the applicant; 3.Anesthesia chart; 4.Schedule of drug and equipment checks; 5.Written protocol for management of emergencies; 6.Schedule of emergency drills; and 7.List of drugs and equipment that the applicant will provide at each site.

  • Modifications or omissions of required tests are not permitted.• Applicant agreement for release of medical information to the Diving Safety Officer and the Diving Control Board (Appendix 2b).• Medical history form (Appendix 3).

  • Modifications or omissions of required tests are not permitted.● Applicant agreement for release of medical information to the Diving Safety Officer and the Diving Control Board (Appendix 2b).● Medical history form (Appendix 3).

  • For patients already enrolled in the study, the assignment to a strata will be based on Medical history form (see section 8.1).

  • Medical history form and family doctor registration card We request that the Student Licence and Accommodation Application Form are completed and returned to the College as soon as possible.

  • We automatically track certain basic website user information about our Site visitors, such as their internet protocol (IP) address, their browser type, their internet service provider (ISP), their hardware, operating system version, unique device identifiers, mobile network information, referring and exit pages, and their click patterns within the Site (“Website Use Information”).

  • As used in this section, the following terms mean: (1) "Adoptee", the person who is the subject of a birth certificate; (2) "Birth parent", the person who is the biological parent of an adoptee and who is named as the parent on the original birth certificate of the adoptee; (3) "Contact preference form", the form developed by the state registrar under subsection 4 of this section; (4) "Medical history form", the form developed by the state registrar under subsection 3 of this section.

  • Once accepted, the following additional documentation must be presented for enrollment:• Medical history form including sight and hearing evaluations• Vaccination certificate (copy)• Copy of the birth certificate or passport• One recent passport size photo, or similarAdditional documentation for presentation to the Ministry of Education if the child will be registered there:• Original Salvadoran birth certificate.

  • Medical history form for applicant dated 11 January 2010 giving his address as Barkers Farm.

  • Candidates must be in good academic standing with the University and have a minimum cumulative GPA of 2.50 on a 4.0 scale.2. Complete of initial application.3. All previous collegiate official transcripts must be available to the Athletic Training Program Admissions Committee.4. Medical history form signed by a physician.

Related to Medical history form

  • Medical history means information regarding any:

  • Medical cannabis means the same as that term is defined in Section 26-61a-102.

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.

  • Medical home means a team approach to providing health care that originates in a primary care setting; fosters a partnership among the patient, the personal provider, and other health care professionals, and where appropriate, the patient’s family; utilizes the partnership to access and integrate all medical and nonmedical health-related services across all elements of the health care system and the patient’s community as needed by the patient and the patient’s family to achieve maximum health potential; maintains a centralized, comprehensive record of all health-related services to promote continuity of care; and has all of the characteristics specified in section 135.158.

  • Medical Specialist means any medical practitioner who is vocationally registered by the Medical Council under the Health Practitioners Competence Assurance Act 2003 in one of the approved branches of medicine and who is employed in either that branch of medicine or in a similar capacity with minimal oversight.

  • Medical physicist means a person trained in evaluating the performance of mammography equipment and facility quality assurance programs and who meets the qualifications for a medical physicist set forth in 41.6(3)“c.”

  • Authorized medical physicist means an individual who:

  • In Patient Care means treatment for which the insured person has to stay in a hospital for more than 24 hours for a covered event.

  • Hospice patient s family" means a hospice patient's immediate family members, including a spouse, brother, sister, child, or parent, and any other relative or individual who has significant personal ties to the patient and who is designated as a member of the patient's family by mutual agreement of the patient, the relative or individual, and the patient's interdisciplinary team.

  • Hospital pharmacist means an Iowa-licensed pharmacist who meets the requirements for participating in a hospital practice protocol as determined by the hospital’s P&T committee.

  • Medical control means a person who provides medical supervision to an emergency medical service provider.

  • Hospital pharmacy means a pharmacy providing pharmaceutical care to

  • Diagnosis of autism spectrum disorder means medically necessary assessments, evaluations, or tests

  • Outpatient hospital services means preventive, diagnostic, therapeutic, observation, rehabilitation, or palliative services provided to an outpatient by or under the direction of a physician, dentist, or other practitioner by an institution that:

  • medical food means a food that is intended for the dietary treatment of a disease or condition for which nutritional requirements are established by medical evaluation and is formulated to be consumed or administered enterally under the direction of a Practitioner.

  • Medical equipment means equipment used in a patient care environment to support patient treatment and diagnosis.

  • Medical care means amounts paid for:

  • Medical support means providing health care coverage for a joint child by carrying health care coverage for the joint child or by contributing to the cost of health care coverage, public coverage, unreimbursed medical expenses, and uninsured medical expenses of the joint child.

  • Diagnosis of autism spectrum disorders means assessments, evaluations, or tests, including the autism diagnostic observation schedule, performed by a licensed physician or a licensed psychologist to diagnose whether an individual has 1 of the autism spectrum disorders.

  • Designated mental health professional means a mental health

  • Objective medical evidence means reports of examinations or treatments; medical

  • Medical cannabis dispensary means an organization issued a

  • graduate psychiatric nurse means a person whose name is entered on the register of graduate psychiatric nurses of the College of Registered Psychiatric Nurses of Manitoba. The terms of this Agreement shall be applicable to the graduate nurse, the graduate practical nurse, graduate psychiatric nurse, and graduate nurse practitioner, except as otherwise specified in the Collective Agreement.

  • Nursing home-type patients means a patient who has been in hospital more than 35 days, no longer requires acute hospital care, cannot live independently at home or be looked after at home, and either cannot be placed in a nursing home or a nursing home place is not available.

  • Medical examination means the preliminary assessment of a person by an authorized health worker or by a person under the direct supervision of the competent authority, to determine the person’s health status and potential public health risk to others, and may include the scrutiny of health documents, and a physical examination when justified by the circumstances of the individual case;

  • In-patient means a person admitted to a hospital as a resident or bed- patient and who is provided at least one day's room and board by the hospital.