new patient medical questionnaire
Name SS#
Birthdate Age Height inches Weight lbs. Sex
Address Chart Number
Referring Doctor and Address
Doctor You Are Seeing Today Today’s Date
Do you have a living will? YesNo(circle)Do you have an advanced directive?YesNo(circle)
If you have a living will or an advanced directive, please provide us with a copy for your chart.
PRESENT PROBLEM
- Chief complaint: Why are you seeing the doctor today? Please describe your symptoms and length of time you have had them:
- Have had this problem before? How long?
- Have you had any treatment for this problem?
What kind of treatment?
For how long?
Who treated you?
- Were you injured at work?
Date of injury: Did you report it? Date you last worked:
Details of injury:
- Are you symptoms accident related? Date of accident:
- Is there a law suit in this accident/injury?
- Occupation
- Have you had physical therapy?
- Have you had epidural steroid injections?
PAST HISTORY
- Operations: Please list type, date, and Doctor
- Hospitalizations (not operations): Please list reason, year, and Doctor
- Allergies to medicines:
- Medicines you are presently taking and the dosage:
- Are you a diabetic?
- Do you take Coumadin?
In the event a MRI is needed:Do you have a pacemaker?
Do you have aneurysm clips in your brain?
Are you claustrophobic?
REVIEW OF SYSTEMSIf you answer yes, please elaborate:
HEENT
Frequent headaches
Dizziness
Falling out spells
Ringing in your ears
Trouble hearing
Blurred vision or double vision
Glaucoma
Frequent nosebleeds
Difficulty swallowing
Hoarseness
Change in your voice
CARDIORESPIRATORY
Chest pain
Heart attack
High blood pressure/Hypertension
Shortness of breath Pulmonary embolus Wheezing or asthma
Coughing up blood Chest pain with exertion Arm, neck, or jaw pain with exertion Feel your heart pound, skip or race Have had a heart murmur Ankle swelling Phlebitis
GASTROINTESTINAL
Change in weight or appetite Indigestion Nausea Frequent vomiting Abdominal pain Black, tarry stools or blood in stools Diarrhea Hepatitis
GENITOURINARY
Difficulty voiding Difficulty controlling urine Getting up at night often to void Impotence Pain or problems during sexual intercourse
NEUROMUSCULAR
Frequent headaches Seizures
Any episodes of numbness or paralysis Any episodes of visual loss Stroke
Migraine headaches
Frequent episodes of joint pain or swelling
Severe low back pain
Calf of leg pain with walking
GENERAL
Bleeds or bruises easily
Any difficulty with operations or dental work Any change in mood Trouble sleeping Experienced any new major stresses Lack of energy Any difficulty with alcohol or drugs Thought you should cut down on your drinking of alcohol Feeling down, depressed, or hopeless Any changes in your skin- rashes, itching
FAMILY HISTORYHave any of your relatives had…
Aunt/Grand
FatherMotherBrotherSisterUncleParentChildComments
Heart disease
High blood pressure
Stroke
Kidney disease
Breast cancer
Prostate cancer
Colon cancer
Psychiatric illness
Anemia
SOCIAL HISTORY
Do you use tobacco? How much and for how long?
Do you use alcohol? How much and for how long?
Education:
Vocation: Still working?
Are you exposed to toxins?
Physician’s Signature Date
Revised10/03/2018