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Dermatology Medical History Patient: Date: Reason for today's visit: Are you allergic to any medications? YES NO If yes, list below: 1. 2. Have you ever had dental anesthesia ()? YES NO Any bad reaction?
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What is yes no if yes?
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You can fill out yes no if yes by indicating either 'yes' or 'no' next to the condition being reported.
What is the purpose of yes no if yes?
The purpose of yes no if yes is to accurately report the presence or absence of a specific condition.
What information must be reported on yes no if yes?
The specific condition in question must be clearly indicated on yes no if yes.
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