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OVER Please describe any significant injuries for which you have been treated including fractures dislocations sprains and the approximate date of injury INJURY Has anyone in your immediate family parents brothers sisters ever been treated for any of the following Heart disease Stroke Alcoholism chemical dependency Cancer Arthritis Headaches Mental illness Which of the following OVER-THE-COUNTER medications have you taken in the last week Aspirin Tylenol Advil/Motrin/Ibuprofen Laxatives...
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