| Document Date: 2015-01-08 00:51:20
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MedicalCondition Allergy / thick scars / melanoma / allergies / mental retardation / deafness / Autoimmune disease / acne / hay fever Hair/tooth/nail problems Seizures / e.g. psoriasis / Graves’ disease / allergies/Hay fever Cardiovascular Congenital heart problems/defects Gastrointestinal Ulcerative colitis/Crohn’s disease Constipation Neurologic Chronic headaches Seizures Depression / vitiligo / childhood diabetes / rheumatoid arthritis / lupus / Skin cancer / eczema / Birthmarks Dry/sensitive skin Eczema Keloids / Herpes / Thyroid problems Diabetes Other Arthritis / Birthmarks Skin disease / Asthma / / MedicalTreatment surgeries / / Organization Science University Hospitals and Clinics Department / / Position Physician / athlete / / Product Lidocaine / Coumadin / Motrin / Advil / / ProvinceOrState Oregon / /
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Oregon Health & Science University Hospitals and Clinics Department of Dermatology ACCOUNT NO. MED. REC. NO.