![Hilarious “Patient Health History Form” Filled Out In Hospital [PICTURE]](http://townsquare.media/site/10/files/2014/06/Nurse-Getty.jpg?w=980&q=75)
Hilarious “Patient Health History Form” Filled Out In Hospital [PICTURE]
My buddy sent this to me yesterday. He works in a hospital and said that if he was the one that actually got this, he would have dropped to the floor laughing.
Apparently, the lady nurse who got this didn't think this was funny.

More From 106.5 WYRK
![Hilarious: Guys Respond to Girl’s Bathroom Signs [PICTURE]](http://townsquare.media/site/10/files/2015/01/Toilet-Seat.jpg?w=980&q=75)
![Weird Lies All Couples Tell [VIDEO]](http://townsquare.media/site/10/files/2014/10/hqdefault29.jpg?w=980&q=75)

![WYRK Listeners Respond: What’s Something You Hate That Your Wife/Husband Does, But Won’t Tell Them? [LIST]](http://townsquare.media/site/10/files/2014/07/Couple-Getty-Images.jpg?w=980&q=75)


![Woman Beats Up Man — Would You Interfere? [VIDEO] [POLL]](http://townsquare.media/site/10/files/2014/05/Fighting-Couple.jpg?w=980&q=75)

