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PAST MEDICAL HISTORY
Please circle any condition that you currently have or have had in the past:
High Blood PressureStrokeArthritisLung Disease/ProblemsCancerKidney DiseaseHeart Disease/ProblemsDiabetesLiver
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What is please circle any condition?
Please circle any condition refers to a specific condition or requirement that needs to be indicated by circling or marking it on a form or document.
Who is required to file please circle any condition?
Individuals or entities who meet the criteria specified in the condition are required to file please circle any condition.
How to fill out please circle any condition?
To fill out please circle any condition, simply circle or mark the specified condition on the form or document as indicated.
What is the purpose of please circle any condition?
The purpose of please circle any condition is to ensure that the relevant information or requirement is accurately identified and acknowledged.
What information must be reported on please circle any condition?
The information that must be reported on please circle any condition will depend on the specific condition or requirement indicated.
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