Medical History Of Patient

Medical History Of Patient

Please list

Do you have any of the following

Blood Pressure ProblemsHepatitasUse tobacco productsThrembosis/EmbolismChest painDiabetesRheumatic feverMental health disorderSleep and / or snoring problemsJaundiceAIDS or HIVHeart problemsTuberculosisOsteoporosisCancerConditions that effect immune systemTonsil and / or adenoid problemsLiver diseaseShortness of breathPacemakerAsthmaStomach ulcersThyroid problemsJoint replacementEmphysema / Chronic BronchitisArthritis / Rheumatoid ArthritisAbnormal bleedingAbnormal BruisingSinus problemsSeizure disorderKidney disease


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