Get the free When To See a Doctor for a Hoarse or Lost Voice - klinic mb
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Name:___
Appointment with:___
Cellphone#:___
Date:___1. Doyouhaveanyofthefollowingsymptoms:Pleasecircleallthatapplybelow
1ormorefromCategoryAor2ormorefromCategoryBPositivescreen
Category CategoryBFeverover38degreesorsubjective
Runnymede
fever/chills
Cough
Mustaches
SoreThroat/HoarseVoice
Fatigue
ShortnessofBreath/Breathing
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