Health

Personal Data

 

Health Data

    Allergies

  • Cardiovascular diseases

  • Heart Attack

  • Angina

  • Varicose veins

  • Skin disease

  • Digestive diseases

  • Ulcer in the stomach or duodenum

  • Diaphragmatic hernia

  • Endocrine disorders

  • Diabetes

  • Goiter

  • Gout disorders

  • Urogenital diseases

  • Renal colic (stones)

  • Hysterectomy (removal of the uterus/ovaries)

  • Renal insufficiency

  • Liver disease

  • Hepatitis

  • Cirrhosis

  • Biliary colic, liver colic or gallstones

  • Diseases of bone/muscle

  • Disc prolapse

  • Rheumatism

  • Arthrosis

  • Osteoporosis

  • Knee and meniscus injuries

  • Neurological diseases

  • Brain embolism/thrombosis

  • Epilepsy

  • Meningitis

  • Paralysis

  • Depression

  • Other neurological diseases

  • Diseases of the respiratory tract

  • Asthma

  • Chronic Bronchitis

  • Pneumonia

  • Tuberculosis

  • High blood pressure

  • Tumours

  • Eye disorders and visual disturbances

  • Diseases or disorders of the nose

  • Suffering or suffered from diseases that are not listed

  • Suffering or suffered injuries affecting physical disorders

  • The impact and/or limitations associated with the disease (disability, etc.)

  • Consumption of tobacco

  • Do you take any medicine?

  • Take a drug?

  • Have you ever suffered an injury or accident?

  • Past surgical procedures

  • Have you had an HIV test?

  • Have you seen a doctor in the last 6 months?

  • Have you had an examination with diagnosis or before a treatment?