PAST MEDICAL/SURGICAL HISTORY Please indicate if POSITIvE ...
Thyroid Surgery Appendectomy Gallbladder Surgery Hernia Repair Cataract Surgery Cardiac Pacemaker Hysterectomy Cesarean Section Prostate Surgery **Please list further surgeries if not indicated. o o o o o o o o o o o o o o o o o Past Medical History: Taking Blood Thinners Hypertension (High Blood Pressure) Coronary Artery Disease Congestive ... ................
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