Attachment C Family Health History Form - Connecticut

Attachment C Family Health History Form - Connecticut

What Is Attachment C?

This is a legal form that was released by the Connecticut Department of Developmental Services - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Attachment C Family Health History Form?A: Attachment C Family Health History Form is a document used in Connecticut to collect information about an individual's family health history.

Q: Why is a Family Health History Form important?A: A Family Health History Form is important because it helps healthcare providers identify any potential genetic or hereditary health conditions that individuals may be at risk for.

Q: What information does the Family Health History Form ask for?A: The Family Health History Form asks for details about the health conditions of close blood relatives, such as parents, siblings, and grandparents.

Q: Who should fill out the Family Health History Form?A: Ideally, the individual or the individual's closest blood relatives should fill out the Family Health History Form to provide accurate and complete information.

Q: Is filling out a Family Health History Form mandatory?A: Filling out a Family Health History Form is not mandatory, but it is recommended, as it can help healthcare providers assess an individual's risk for certain health conditions and provide appropriate preventive care.

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Form Details:

  • The latest edition provided by the Connecticut Department of Developmental Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Attachment C by clicking the link below or browse more documents and templates provided by the Connecticut Department of Developmental Services.

Download Attachment C Family Health History Form - Connecticut

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