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UMD Health Services Medical History Form Date Student ID Social Security -- Last First Middle Date of Birth Sex Female Male Transgender Other EMERGENCY CONTACT Parent/Guardian/Spouse Phone Relationship FAMILY HISTORY Address City State/Zip I am adopted. Yes No if yes skip to personal health history. I have parents grandparents brothers and/or sisters with please check X Heart attack/Stroke High blood pressure Diabetes Thyroid disease Breast...
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The University of Minnesota Athletic Department is the sports organization within the University of Minnesota system. It oversees various intercollegiate athletic programs and teams.
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