Get the free In order for the Health History Form to be approved, it is mandatory that the questi...
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List any medicine the student is currently taking for the condition. Migraine Yes No Medication Back Problems Yes No Blood Pressure Psychological Problems Neurological Problems Anxiety Problems Anemia Yes No Kidney Problems Diabetes Yes No Chest Problems Asthma Jaundice Yes No Stomach/Gastric Problems Heart Problems Malaria Yes No Epilepsy Have you had Chickenpox If yes please state date Vision Disorder Have you had past surgeries Medication Allergies Food allergies Environmental...
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