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MEDICAL HISTORY Please check YES or NO for each history question. Are you under a physicians care now?YES NO if yes, please explain: Have you ever been hospitalized?YES NO if yes, please explain:

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What is please check yes or?

Please check yes or is a form used to indicate whether a certain condition is met or not.

Who is required to file please check yes or?

Anyone who needs to confirm or deny the presence of a specific situation must file please check yes or.

How to fill out please check yes or?

To fill out please check yes or, simply mark either 'yes' or 'no' based on whether the condition applies.

What is the purpose of please check yes or?

The purpose of please check yes or is to provide a clear and concise answer regarding a specific circumstance.

What information must be reported on please check yes or?

Only the confirmation or denial of the stated condition needs to be reported on please check yes or.

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