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List all medications and herbal supplements/remedies that you are currently taking. Name For what Condition Dose/Frequency of use A B C D E F peg dns ocs forms medical history form.doc 11/01 VERIFIED BY EXAMINER 12. NAME DATE CHART UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY - MEDICAL AND DENTAL HISTORY GENERAL INFORMATION Male c* Weight lbs. Month Day Year Female d. Height ft. inches e. Highest grade of regular school that you have completed f* Employed Yes No 1. a* Date of Birth b. Gender...
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Current Weight: 7. Your Height: 0.8 m 1. Male: Weight: lbs. kg. M 2. Female: Weight: lb, kg. Ft. inches 7. Height: ft, inches: 4/25/2018: I was diagnosed with chronic migraines since I was a child. My doctor thinks it might be a type of epilepsy. I've had four major migraines since I was 22, and they are now gone for 5 years. 7/19/2014: Been going through a lot of problems. Started having migraines now. They only last a few seconds and are very mild. I don't think it's epilepsy or anything else. The reason I don't think it's epilepsy is because my doctor told me about the symptoms of epilepsy and the type of medication that can be given. He told me the only way they would get any relief would be through a surgery. I asked if there was a cure and the doctor said no, but that there is a way I can fight the migraines and that it would only be a matter of months if I were lucky, or possibly a year or more if it was a heavy migraine. I have had migraines since I was a child, and they've never been debilitating. Furthermore, I think it is probably a type of migraine, but I think it's related to something else. Furthermore, I think I started having migraines when I was around 25, but they have gotten worse recently as I've gotten older. Furthermore, I also have migraines if no one is around, and I don't want to get up. The migraines seem to come after I've been depressed like I was after my husband got away. The migraines started when I met this guy, and he was very nice to me. Then one night when he was gone I felt like throwing up. When I was talking to my boss that afternoon about my migraines, she asked me what was wrong with me. I started crying, I didn't know what to say. She looked at me and said, Well you had a nervous breakdown then. You must really hate your job. I haven't had that problem since. Since then, I've only had a few migraines about this time every few weeks. I think I'm just sensitive to the surrounding energy.
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Before you training a new client is it important to make them fill out a medical history from this form gives you an idea of how you should drain your client you can download the sample form in Word or PDF format the word format allows you to easily make adjustments to the form here's how to download this form just click on the link in the description this link will take you to a page where you can download a printable medical history form you can also click on the second link to get other free forms for personal trainers
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