MEDICAL HISTORY - Brian L. Britton, DDS
Have you been under a physician’s care in the last 2 years? Yes No. If yes, explain: _____ ... Codeine or morphine Yes No Rash Swelling Upset Stomach Vomiting Other reaction (explain)_____ Dental anesthetic (e.g. Novocain or lidocaine) Yes No Rash Swelling Upset Stomach Vomiting Other reaction (explain)_____ ... ................
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