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HEIGHT cm WEIGHT kg ALLERGIES INTOLERANCES SENSITIVITES specify type of reaction e.g. rash HISTORY OF MEDICAL PROBLEMS including year of onset or diagnosis HISTORY OF OPERATIONS including year FAMILY HISTORY CURRENT MEDICATIONS DOSAGE including over the counter medications Smoking status Current Ex Never Year started Year stopped Number of cigarettes per day Alcohol How many days a week do you drink alcohol On days when drinking number of standard drinks consumed one standard drink 425ml...
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