[header] How to write a good medical history [title] Take down the patient's name, age, height, weight and chief complaint or complaints. [title] Gather the primary history. [substeps] Ask the patient to expand on the chief complaint or complaints. 
In particular, ask about anything that the patient was unclear about or that you don't understand. Get specific numbers for things like how long the patient has had the symptoms or how much pain, on a scale of 0 to 10, the patient is experiencing.