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PERSONAL MEDICAL HISTORY Have you EVER had any of the following? Please check the box to the right if yes. Heart DiseaseArthritisHigh Blood PressureOsteoporosisDiabetesOsteopeniaHeart AttackSeizuresCOPD/EmphysemaParkinsonsAsthmaHIV/
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The 'please check form box' refers to a designated area in a form where individuals must verify or confirm certain information or compliance with regulations.
Individuals or entities that are obligated to provide specific information or fulfill certain regulatory requirements must file the 'please check form box'.
To fill out the 'please check form box', carefully read the instructions, enter the required information, and mark the appropriate boxes as indicated.
The purpose of the 'please check form box' is to ensure clarity and compliance by confirming that all necessary information has been reviewed and acknowledged.
The information required to be reported on the 'please check form box' typically includes personal details, compliance confirmations, and any other data specified by the regulations governing the form.
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