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City ZIP City / Trieste / / Country Italy / / IndustryTerm therapy for allergies / food / / MedicalCondition allergies / ileitis / conjunctivitis keratitis glaucoma / NERVOUS SYSTEM DISEASES / convulsions / herniated discs / disease / backache / headache / Vaccinations Tetanus / lumbago / Arterial hypertension / hives / tendinitis / bronchitis / dermatitis / LIVER DISEASES / musculoskeletal disorders / Diabetes / rhinitis / hepatitis C / hepatitis B / allergic disorders / already established diseases / allergy / hernia / Gastritis/gastroenteritis/acid reflux/irritable Colon/colitis / conjunctivitis / High cholesterol / pain / diseases / INFECTIOUS DISEASES measles rubella pertussis chickenpox mumps hepatitis A / disorder / rectal colitis / EPILEPSY / viral hepatitis / low back pain / respiratory allergies / sleep disorders / DIGESTIVE TRACT DISEASES / DEPRESSION / back pain / ever noticed disorders / EYE DISEASES / anemia / skin diseases / scoliosis / TBC lymphadenitis / tuberculosis / asthma / / MedicalTreatment Vaccinations / drug therapy / SURGERY / physiotherapy / / Organization International School for Advanced Studies Via Bonomea / Health Surveillance Service / 17-May-13 International School for Advanced Studies Via Bonomea / / / Position general practitioner / Date Physician / HEALTH QUESTIONNAIRE REVISION DATE Standard Operative / PHYSICIAN / / RadioStation Wine / / Technology MRI / / SocialTag 
HEALTH QUESTIONNAIRE REVISION DATE Standard Operative Procedure NO. 17-May-13 International School for Advanced Studies Via Bonomea n.265, 34136 Trieste (Italy) tel.: [removed]telefax: [removed]C.F[removed] –