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Forms (Download and print)
Medical Health History Form (DOC)
If you have an appointment for a physical examination, please complete pages 1 and 2 and bring the completed copy with you to your appointment. On page 2, please make sure you circle “Yes” or “No” to each question. Any “Yes” answers please explain in the space provided at the end of the page. Completing this form at home may make it more convenient for you and you will save time during your appointment. If you are not sure of any questions on the form, leave it blank and we will discuss it together.
Articles and information provided by the Los Angeles Valley College Health Center staff on this website are for general information purposes only and are not intended to substitute for medical advice from a physician or other health care provider. Any information and/or suggested resources are not intended, and must not be taken to be, the rendering of medical services or the practice of medicine. Additionally, Los Angeles Valley College is not affiliated with any of the listed resources, with the exception of Valley Presbyterian Hospital. You should always seek the advice of a physician or other health care provider for specific health questions or conditions and before you begin any new type of medical treatment. Do not delay seeking medical advice or disregard medical advice simply because you have chosen to use this site.