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the American Academy of Allergy, Asthma & ImmunologyAAAAI  Form

the American Academy of Allergy, Asthma & ImmunologyAAAAI Form

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Health age Sister s health Do any family members have a history of allergic or immunologic conditions If yes please complete all that applies. PAST MEDICAL/SURGICAL HISTORY Have you ever had any of the following conditions List other medical illnesses ER/Hospitalizations When/why Any surgeries Abnormal tests Chest XR when CT scan Tonsils/adenoids removed if yes when Sinus surgery Myringotomy tubes in ears Cough up blood Tuberculosis Glaucoma Kidney problems Snoring/mouth breathing Diabetes...
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