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Family Health History

Knowing your family’s health history can save your life

OFHSVirginia Department of Health Family History Initiative

Knowing your family health history can save your life.  Many families have a history of health conditions such as cancer, diabetes, or heart disease.  If there is a history of a particular condition in your family, you may be at greater risk of developing the condition. 

The Virginia Department of Health has developed the Family Health History Form to make it easy for you to collect and record your family’s health information.

Click Here to download the Family Health History Form.

The form can be used to organize family history information.  Simply download the form, print it out, and fill in the information.

We encourage families to complete a Family Health History on each family member and share their information with their family doctor.


Tips on collecting your family health history

Talk it up…

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Write it down...


Last Updated: 03-23-2009

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