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Are you currently taking any prescription or nonprescription over-the-counter medicines MRI CT surgery injections rehabilitation physical herbs or nutritional supplements therapy bracing casting or crutches If yes circle below 4. It there anyone in your family who has asthma breath palpitation history of rheumatic fever or unusual fatigue the last 3 months High blood pressure A heart murmur High cholesterol A heart infection lost your memory for example ECG echocardiogram 12. Any other...
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