TEST MODE — do not enter real health information 测试模式——请勿输入真实健康信息
CarebyHealth history健康史

Checking your link…正在核验您的链接…

🔗

This link isn't valid此链接无效

Please call your coordinator at 905-305-3107 and we'll send you a fresh one.请致电您的健康管家 905-305-3107,我们会为您重新发送链接

This link has expired此链接已过期

Please call your coordinator at 905-305-3107 and we'll send you a fresh one.请致电您的健康管家 905-305-3107,我们会为您重新发送链接

We've already received your health history我们已收到您的健康史

Call us at 905-305-3107 if anything needs updating.如需修改,请致电 905-305-3107

📞

Something went wrong出了点问题

Please try again in a minute, or call 905-305-3107.请稍后重试,或致电 905-305-3107

About you基本信息

Exactly as it should appear on your lab requisition.请填写与化验申请单一致的信息

Needed for lab reference ranges.用于确定化验参考范围

Current medications目前用药

Include supplements and vitamins. Write "none" if none.包括保健品和维生素。若无,请填"无"

Allergies过敏史

Medications, foods, or anything else. Write "none" if none.药物、食物或其他过敏。若无,请填"无"

Your health conditions您的健康状况

Check anything a doctor has diagnosed you with.请勾选医生曾确诊的疾病

Family history家族病史

In your parents, brothers, or sisters.您的父母或兄弟姐妹曾患有:

Lifestyle生活方式

Women's health女性健康

Anything you want checked?有想重点检查的方面吗?

Symptoms, worries, or anything you'd like the physician to pay attention to. Optional.症状、担忧,或希望医生特别关注的方面。可不填

Please check your answers请核对您的回答

Nothing has been sent yet. Use Back to correct anything.尚未提交。如需修改,请点击"上一步"

🌿

Thank you — your health history is with the physician team谢谢——您的健康史已交给医生团队

Your coordinator will confirm your lab appointment shortly.您的健康管家会尽快与您确认化验预约