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MEDICAL HISTORY Formulas circle YES or NO and explain any YES answerYESNOAre you allergic to any foods, latex, medications, etc.? Restore you presently under a physicians care for any acute/chronic
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Please circle yes or is a form that requires a response to be circled with either a yes or a no.
Individuals or entities specified in the instructions for the form are required to file please circle yes or.
To fill out please circle yes or, simply circle either yes or no in the designated area.
The purpose of please circle yes or is to gather specific information or confirm a certain criteria.
The information required to be reported on please circle yes or will be specified in the instructions accompanying the form.
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