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Chemistry / Health sciences / Military occupations / Drug rehabilitation / Eli Lilly and Company / Methadone / Dentist / Oral hygiene / Health / Medicine / Periodontology


PATIENT HEALTH INFORMATION Name: Date: Yes
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Document Date: 2015-04-21 23:19:55

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File Size: 126,17 KB

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IndustryTerm

insurance benefits / insurance coverage / electronic device / rubber / insurance carrier / insurance / /

MedicalCondition

pain / Stroke Steroid treatment Sinus trouble Cold sores/fever / pain in any of your teeth / heart attack / HIV / angina Epilepsy / Yes No Hives / Allergies Aspirin Arthritis / Lupus (SLR) Any disease / mitral valve prolapse Cough / frequent headaches / serious illness / Rheumatic heart disease / /

MedicalTreatment

Chemotherapy / Joint replacement / radiation / blood transfusion / antibiotics / /

Position

Physician / dentist / /

Product

lidocaine / Actonel / Fosamax / Boniva / Penicillin / /

Technology

radiation / Chemotherapy / /

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