Medical History - Page 4 / 9

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Medical History - Page 4 of 9

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Medical History

ADD / ADHD

SELF FATHER MOTHER SIBLINGS CHILDREN

ALCOHOL ABUSE

SELF FATHER MOTHER SIBLINGS CHILDREN

ANEMIA

SELF FATHER MOTHER SIBLINGS CHILDREN

ANGINA

SELF FATHER MOTHER SIBLINGS CHILDREN

ANXIETY

SELF FATHER MOTHER SIBLINGS CHILDREN

ARTHRITIS

SELF FATHER MOTHER SIBLINGS CHILDREN

ASTHMA

SELF FATHER MOTHER SIBLINGS CHILDREN

BLOOD CLOTS

SELF FATHER MOTHER SIBLINGS CHILDREN

BLEEDING DISORDERS

SELF FATHER MOTHER SIBLINGS CHILDREN

BONE DISORDERS

SELF FATHER MOTHER SIBLINGS CHILDREN

BREAST CANCER

SELF FATHER MOTHER SIBLINGS CHILDREN

CAROTID ARTERY DISEASE

SELF FATHER MOTHER SIBLINGS CHILDREN

CIRCULATORY PROBLEMS

SELF FATHER MOTHER SIBLINGS CHILDREN

COLON CANCER

SELF FATHER MOTHER SIBLINGS CHILDREN

CROHN's

SELF FATHER MOTHER SIBLINGS CHILDREN

DEAFNESS

SELF FATHER MOTHER SIBLINGS CHILDREN

DIABETES

SELF FATHER MOTHER SIBLINGS CHILDREN

DEPRESSION

SELF FATHER MOTHER SIBLINGS CHILDREN

DRUG ABUSE

SELF FATHER MOTHER SIBLINGS CHILDREN

EMPHYSEMA

SELF FATHER MOTHER SIBLINGS CHILDREN

EPILEPSY / SEIZURES

SELF FATHER MOTHER SIBLINGS CHILDREN

GALL BLADDER DISEASE

SELF FATHER MOTHER SIBLINGS CHILDREN

GERD / REFLUX / ULCER

SELF FATHER MOTHER SIBLINGS CHILDREN

HEART ATTACK

SELF FATHER MOTHER SIBLINGS CHILDREN

HEART MUMUR

SELF FATHER MOTHER SIBLINGS CHILDREN

HEART VALVE DISORDERS

SELF FATHER MOTHER SIBLINGS CHILDREN

HEARING LOSS

SELF FATHER MOTHER SIBLINGS CHILDREN

HERNIA

SELF FATHER MOTHER SIBLINGS CHILDREN

HIGH BLOOD PRESSURE

SELF FATHER MOTHER SIBLINGS CHILDREN

HIGH CHOLESTEROL

SELF FATHER MOTHER SIBLINGS CHILDREN

IRRITABLE BOWEL SYNDROME

SELF FATHER MOTHER SIBLINGS CHILDREN

KIDNEY DISEASE

SELF FATHER MOTHER SIBLINGS CHILDREN

LEUKEMIA LYMPHOMA

SELF FATHER MOTHER SIBLINGS CHILDREN

LIVER DISEASE

SELF FATHER MOTHER SIBLINGS CHILDREN

MENTAL ILLNESS

SELF FATHER MOTHER SIBLINGS CHILDREN

MIGRAINES

SELF FATHER MOTHER SIBLINGS CHILDREN

MITRAL VALVE PROLAPSE VALVE DISORDERS

SELF FATHER MOTHER SIBLINGS CHILDREN

NEUROLOGICAL PROBLEMS

SELF FATHER MOTHER SIBLINGS CHILDREN

NICOTINE USAGE

SELF FATHER MOTHER SIBLINGS CHILDREN

OSTEOPOROSIS

SELF FATHER MOTHER SIBLINGS CHILDREN

PEPTIC ULCER

SELF FATHER MOTHER SIBLINGS CHILDREN

PANCREATITIS

SELF FATHER MOTHER SIBLINGS CHILDREN

PROSTATE CANCER

SELF FATHER MOTHER SIBLINGS CHILDREN

RHEUMATOID DISORDER

SELF FATHER MOTHER SIBLINGS CHILDREN

SICKLE CELL DISEASE

SELF FATHER MOTHER SIBLINGS CHILDREN

SKIN DISORDERS / SKIN CANER

SELF FATHER MOTHER SIBLINGS CHILDREN

SLEEP APNEA

SELF FATHER MOTHER SIBLINGS CHILDREN

STROKE

SELF FATHER MOTHER SIBLINGS CHILDREN

THYROID DISEASE

SELF FATHER MOTHER SIBLINGS CHILDREN

Other Info.

Other Cancer ( Not Mentioned Above)

SELF FATHER MOTHER SIBLINGS CHILDREN

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