tumor / HIV / disease / genital herpes / HPV / stroke / Transient Ischemic Attack / high cholesterol / ulcerative colitis / injury / Lung(s) Cancer / AIDS / epilepsy / hepatitis / high blood pressure / MS / depression / Blood disorder / /
MedicalTreatment
counseling / surgery / /
Organization
SISIP FS Name Initials Unit / N/A No Yes Office Telephone Unit / A No Yes Office Telephone Unit / APPROVING AUTHORITY / CF / Medical Information Bureau / /