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Text File  |  1997-10-28  |  264b  |  17 lines
  1.                      GENERAL HEALTH HISTORY
  2.  
  3.  
  4.  
  5. Any health problems:
  6.     
  7.   Allergies
  8.   Diabetes
  9.   Frequent colds or other upper  
  10.       respiratory infections
  11.   Cardiovascular
  12.   Gastro-intestinal
  13.   Hormone replacement
  14.   Thyroid
  15.  
  16. Family health history
  17.