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Text File  |  1997-10-29  |  261b  |  16 lines

  1.                           GENERAL HEALTH HISTORY
  2.  
  3.  
  4. Any health problems:
  5.     
  6.   Allergies
  7.     Diabetes
  8.     Frequent colds or other upper  
  9.       respiratory infections
  10.     Cardiovascular
  11.     Gastro-intestinal
  12.     Hormone replacement
  13.     Thyroid
  14.  
  15. Family health history
  16.