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| Document Date: 2013-02-25 12:49:44 Open Document File Size: 168,36 KBShare Result on Facebook
Country United States / / Facility McKinley Health Center / Health Center / University Identification Number First Middle ALLERGIES / / / MedicalCondition Glaucoma / HEPATITIS A / mm/dd/yy measles / Celiac Disease / vaccine allergies / Gallbladder Disease / HIV / mumps / Fibromyalgia / Chickenpox / Arthritis / Seasonal Affective Disorder / hives / measles / Kidney Stones / Crohn Disease / Congenital Heart Defect / Congenital/Spinal Cord Injury / Rubeola / Hemorrhoids / Hepatitis C / HEPATITIS B / Clot/Clotting Disorder / Melanoma / Obesity / Oral/Mouth Disorder / Codeine Other drug allergies / University Identification Number First Middle ALLERGIES / Multiple Sclerosis / severe illness / Nasal Disorders / Disorder / least three tetanus/diphtheria / Psoriasis / Tuberculosis Please check conditions/diseases / Cystic Fibrosis / illness / Peptic Ulcer Disease / Lupus / Sexually Transmitted Infection / Hearing Impairment / Scoliosis / Chronic Ear Infections / Chronic Fatigue / Asthma / Bronchitis/Pneumonia / Cerebral Palsy / Throat Genital Disorders / fatal / vaccine-preventable illness / ADHD / Cancer / Environmental allergies / Acne / disease / Kidney Disease / Migraines / tetanus/diphtheria / Meningococcal meningitis / HPV / Eczema / allergy / Anxiety Disorder / GERD / rubella / Diabetes Mellitus / Urticaria / Eating Disorder / Menstrual Disorder / Irritable Bowel Syndrome / Depression / Anemia / Bipolar Disorder / / MedicalTreatment IMMUNIZATION / birth control / IMMUNIZATIONS / immunosuppression / / Organization Students Office / Health Center / McKinley Health Center / / Person Had Varicella (Chickenpox) / / / Position Personal Health History General / physician / Dean / / Product Penicillin / / ProvinceOrState Illinois / /
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