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10-59 mins. 60 mins. Have the symptoms resolved Yes No Other Clinical Presentation TOTAL 7-14 Sensory disturbance Face L / R Arm L / R Leg L / R Amaurosis fugax loss of vision Ataxia Limb Gait Carotid bruit or known stenosis Right Left Other please be specific Risk Factors check all that apply Atrial fibrillation Hypertension Current Smoker Hyperlipidemia Previous TIA/Stroke Family hx of Heart/Stroke Diabetes Hx of CAD /- PVD Fax referral form and ALL current...
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100 Queensway West Mississauga is the address of a location in Mississauga, Ontario, Canada.
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