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Dear Patient: We welcome the opportunity to participate in your medical care. To ensure maximum safety and efficiency, we ask that you provide accurate answers to the questions asked relating to your general state of hea
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Document Date: 2013-10-28 15:57:59
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File Size: 240,99 KB
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Facility
University of Washington Physicians Seattle /
UW Medicine Health System PT.NO NAME Harborview Medical Center /
NO NAME Harborview Medical Center /
UW Medical Center Northwest Hospital /
/
MedicalCondition
heart attack /
Kidney disease /
seizures /
fainting /
unconsciousness /
angina /
arthritis /
hepatitis /
high blood pressure /
cough /
frequent headaches /
stroke /
hiatus hernia /
diabetes /
asthma /
/
Organization
UW Medical Center Northwest Hospital /
Medical Center /
University of Washington Physicians Seattle /
/
Position
psychiatrist /
/
Technology
x-ray /
/
SocialTag
Northwest Hospital & Medical Center
Anesthesia
Harborview Medical Center
University of Washington