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MedicalHistory 2011 NAME: DATE OF BIRTH: Reason for Visit: PLEASE INDICATE IF YOU HAVE HAD ANY OF THE FOLLOWING (CHECK ALL THAT APPLY) Rectal Bleeding Protrusion/Swelling Diarrhea Discharge Rectal
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Point 2: Understand the purpose of the question
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Point 5: Verify if the question applies to you
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Individuals filling out a form or document that explicitly contains the phrase "please indicate if you" are the ones who need to respond to this request. It could be a requirement for various purposes such as job applications, surveys, registrations, or official records. The specific form or document will indicate who needs to provide the requested information.
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