NEW PATIENT QUESTIONNAIRE - Christiana Spine P.A. | …
Iodine/Betadine ( Penicillin (Dye/IV Contrast (Tape/Adhesives Sulfa (Shellfish/Shrimp! (Anesthetics ... ( Swelling of feet/ ( Frequent urine infections ( Medication allergy. Extremities ( Latex allergy MUSCULOSKELETAL ( Seasonal allergy. RESPIRATORY ... ................
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