Healthy history family analysis
Health History Form
Relationship: Grandfather (Maternal)
Gender: Male
Age: 73 years
Date of Birth: 15th July 1945
Date of Death (if applicable):NA
Cause of Death (if applicable): NA
Medical History: Cardiovascular disease, 2 bypass surgeries, Diabetes
Psychiatric History (optional): NA
Behavioral Factors: Heavy smoker, heavy alcohol abuse, very active lifestyle, doesn’t really eat healthy
Psychosocial Risk Factors: Worked in army and was boarded out of service due to head injury, always happy, and likes to be around people.