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Thanks Health History please check if applicable Date of last Tetanus Booster Convulsions/Seizures Bedwetting Diabetes Migraines Please List Any Other Potential Health Problems Frequent ear infections Behavioral disorders Asthma Sleepwalking Headaches-mild Emotional Disorders Bleeding/Clotting Disorders Immunization History Allergies please check if applicable Bee stings Poison Ivy severe reaction Seasonal/Hay Fever Environmental requirements Yes No Animal allergies please list Food allergies...
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