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Please check any of the following health conditions that you currently or previously experienced. Medical History Musculoskeletal Cancer Osteoporosis Diabetes Arthritis High Blood Pressure Joint Replacement Low Blood Pressure Dislocations Stroke Fractures/Broken Bones TIA small strokes Disc Herniation/Rupture Seizures Swelling Epilespy Headaches Emphysema Change In Health Kidney Disease Decreased Coordination Rheumatic Fever Fever/Chills/Night Sweats Ulcers Numbness/Tingling Glaucoma...
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