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FAMILY MEDICAL HISTORY Please check all that apply Stroke Heart Disease Diabetes Depression Anxiety High Blood Pressure Osteoporosis Thyroid Disease Migraine Headaches Kidney Disease Alcoholism Asthma Cancer Type VACCINATIONS/PREVENTION Date of last Tetanus Vaccination // Have you received any of the following vaccines Have you had a blood test for Rubella German Measles Hepatitis A Yes No Not sure Date of last Colonoscopy // Pneumo Vax Check here if Not Applicable How often do you wear...
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Start by standing or sitting in a comfortable position with your back straight.
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