Microsoft Word - Keays Medical Group
frequent or severe back pain. pain or stiffness in a joint. Is it due to an injury? Yes No. Skin. skin lesion. sore that won't heal. persistent rash. persistent itching acne. Emotional. frequent periods of anxiety. frequent or prolonged periods of sadness or depression. desire to end it all. feelings of inadequacy. fatigue after a night’s ... ................
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