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Richard Mass, M.D., F.A.C. Patient: Reason for visit:Date:ENT History (circle all that apply) Ear Pain Discharge Hearing loss Noise in ear/ head Balance problem Other Nose/Sinus Obstruction Nasal
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PDF medical history is a document that contains a patient's medical information in a digital format.
Patients are required to fill and submit their own pdf medical history forms.
Patients can fill out the pdf medical history form by providing accurate and detailed information about their medical history, including past illnesses, surgeries, allergies, medications, and family medical history.
The purpose of pdf medical history is to provide healthcare providers with important information about a patient's medical background, which can help in diagnosis and treatment.
Patients must report details such as past illnesses, surgeries, allergies, medications, family medical history, and any current health issues.
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