What information should be included on a medical history form?

National Athletic Trainers' Association

This information should be included in the history portion or reported to your physician during a preparticipation or annual physical:

Medications you are currently taking or have recently stopped taking
Allergies (food, medication, environmental, products, etc.)
Previous injuries
Recent illnesses
Past hospitalizations (reason, dates, duration, treatment)
Family history (cancer, cardiovascular problems, diabetes, psychological problems, etc.)

(This answer provided for NATA by the Washington State University Athletic Training Education Program.)

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.

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What information should be included on a medical history form?

Continue Learning about Managing Your Medical Records