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Patient History Form Nephrology Syracuse

Patient History Form Nephrology Syracuse

Use a nephrology patient history form 0 template to make your document workflow more streamlined.

Ears Blood in stools Frequent ear infections Constipation Nose Chronic diarrhea Nasal congestion Do you use laxatives Frequent sinus infection Black tarry stools Frequent nose bleeds History of jaundice Mouth/Throat Frequent throat infections Change in voice Lungs Chronic cough Coughing up blood Shortness of breath with activity Chest pain or pressure Heart palpitations Endocrine Excessive thirst Cold/heat intolerance Hot flashes Genitourinary Prostate problems Weak/slow...
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