I used this form in my private practice, to have on file and be able to request labs or other information from the medical office. Also, it was a way to make sure that I am able to obtain their anthropometric measurements.Â
Pros
-Simple form
-Easy to understand
-Good to obtain at intake for future needs
-Printer friendly
Cons
-May need to add specific information per state requirements
-May be too simplistic but it is a good starting point.Â
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