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Get and Sign Alberta Prenatal Record Form

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Yes specify agent and reaction Yes Substance Use None Before During Quit Preg Food Tree Nuts- Severe - Anaphylaxis Insect Honey Bee- Severe - Anaphylaxis Aeroallergen Tree Pollen- Moderate - Rash - other Penicillins- Severe - Anaphylaxis Tobacco Medications Alcohol cigarettes / day Nicotine replacement Max drinks/drinking day Reactine 10 mg Tablet 200 mg capsule Malformation / birth defects Rec drugs/solvents days / wk Specify type Topics Discussed Environmental / Occupational second hand smoke...
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