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FAMILYHISTORYWORKSHEET PleaseindicateanyMEDICALHISTORYinyourfamilymembers. Mo Fa Sis Bro Alcohol/Drug Allergies Alzheimer\'disease Anesthesia Aneurysm Arthritis Asthma CancerBreast Cancer Colon CancerOther Cancerization CancerProstate Melanoma NonmelanomaSkinCancer CoronaryArteryDisease Depression Diabetes Eczema Hypertension Lipids.

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