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HEALTH HISTORY QUESTIONNAIRE Information for your Acupuncturist Important: Complete this document as thoroughly as possible. Some of the questions that follow may seem unrelated to your condition,

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Unrelated to your condition refers to activities or issues that do not directly pertain to your specific medical diagnosis or treatment.

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The purpose of unrelated to your condition is to ensure accurate reporting and compliance regarding activities or information that do not impact or are not influenced by the medical context.

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Information that must be reported includes all financial transactions, activities, and other relevant data that are not linked to the medical condition.

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