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Sodium . Disodium . Acid Aclasta . Do you use controlled substances drugs/marijuana. Unrepaired cyanotic Congenital heart disease CHD. Repaired Congenital heart disease CHD in last 6 months. Please list all medications/supplements include vitamins herbal preparations and/or diet supplements . PRINT NAME SIGNATURE DATE Sharla Aronson DDS DENTIST OFFICE POLICY AND CONSENT FORM Please remember that we are here to serve you in a comfortable and professional atmosphere. Please explain Last Updated...
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