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Patient Name:___ Date:___If you have ever taken even one dose of the following medication / supplements, please place a check next to it. ___ Alfuzosin ___ Avoidant ___ Caldera ___ Collar ___ Doxazosin ___

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If you have ever is needed for individuals who want to disclose any past experiences or activities.

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If you have ever refers to a form or declaration that individuals may need to fill out if they have engaged in a specific activity or meet certain criteria.

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Individuals who have ever participated in the activity or meet the criteria specified on the form are required to file if you have ever.

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To fill out if you have ever, individuals must carefully read the instructions and provide accurate information about their past actions or qualifications.

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Individuals must report details of their past actions, involvement in specific activities, or meeting certain criteria as requested on if you have ever.

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