Date: 2015-05-06 10:16:09

Endocrine system

Medicine

Clinical medicine

Diabetes

Peptide hormones

Recombinant proteins

Eli Lilly and Company

RTT

Insulin pump

Insulin

Hypoglycemia

Diabetes mellitus

HEALTH HISTORY AND EXAMINATION FORM This portion may be completed by you in conjunction with licensed medical personnel; however, both your and their signatures are required. Child’s Name: _____________________________

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