PATIENT HISTORY FORM - Hopkins Medicine
Ringing in Ears Rash Scars Sores That Won’t Heal 4. Neck. 11. Neurological Tightness Lump in Throat Difficulty Swallowing Dizziness Vertigo Fainting Numbness Hoarseness Headaches Migraines 5. Cardiovascular. 12. Psychological Chest Pain Palpitations Poor Circulation Swollen Ankles ................
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