The Ultimate Personal Medical History Form

We are very sorry, but due to the complexity of this article, an audio version is not available.

Before going to the form, please read these very important points:

1. I DO NOT WANT YOUR MEDICAL INFORMATION! The form can not be submitted or saved!
   This means you can not partially fill it in, and come back later to complete it, or change it.
2. The form is best accessed from a computer, not a phone or tablet (although you can take a quick look at it now if you're on such a device)
3. You have two options for completing the form:
   1. You can fill in the form online, and print it from your web browser (usually CTRL-P will open up the print dialog).
      or
   2. You can print it blank, and fill it in by pen.

4. There are many Text Area fields that are expandable.
   
   1. If you fill it in online, be sure to open the text area at the bottom so all you have typed is visible, and make sure you leave some blank space for writing in more later.
   2. If you print it blank, make certain the text area is big enough for you to write in what you need to write, including area for adding more later.
5. The link will open a new tab or window, with the form in it. There will be no Javascript or linked files of any type. It is one simple webpage. Feel free to examine the coding of the page. In Firefox, simply press CTRL-U to view the page's source. Other browsers have different commands, but all will allow you to view the source code to see that it is clean and does not submit any information.

Go to The Ultimate Personal Medical History Form

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