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FAMILY MEDICAL HISTORY Please list any of your close relatives sisters brothers parents grandparents children uncles aunts that has or has had any of the following diseases AIDS/HIV Allergies Angina pectoris heart related chest pain or heart attack Bleeding disorders Cancer Diabetes Emphysema Glaucoma Heart Disease Hepatitis Kidney disease Liver Disease Migraine headaches Multiple Sclerosis Osteoporosis Parkinson s Disease Polio Psychiatric disease Rheumatoid Arthritis Stroke Tuberculosis...
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