FOR OFFICE USE ONLY - Atlanta VA Medical Center
food sensitivities (put a * next to serious allergies)? Eggs Corn Sugar Soy. Chocolate Peanuts Citrus. Other_____ Does child have any significant food cravings, or demand or sneak food? _____ Phenols/Salicylates. Are you familiar with phenols, salicylates, and faulty sulfation? ................
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