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Harprit S. Mattu [EH] <br /> From: Harprit S. Mattu [EH] <br /> Sent: Wednesday, June 17, 2015 3:51 PM <br /> To: 'Fawn Liang' <br /> Subject: RE: consent form and medical questionnaire edits <br /> Hi Fawn, <br /> It looks good. <br /> Thank you, <br /> Harprit S. Mattu <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 E. Hazelton Ave. <br /> Stockton, CA 95205-6232 <br /> Voice: (209) 468-3284 <br /> Email:hmattWC sicehd.com <br /> From: Fawn Liang [mailto:fawnyee2880gmail.com] <br /> Sent: Sunday, June 14, 2015 9:50 PM <br /> To: Harprit S. Mattu [EH] <br /> Subject: Re: consent form and medical questionnaire edits <br /> Hi Harprit, <br /> I made the edits that you suggested. Please let me know if there are more changes that I need. <br /> Thank you, <br /> Fawn <br /> On Fri, Jun 12, 2015 at 4:27 PM, Harprit S. Mattu [EH] <hmattu ,sicehd.com>wrote: <br /> Hi Fawn, <br /> For the medical questionnaire, questions such as 1, 2,and 9 are asking the client more than one question. Please ensure <br /> that if the client marks yes,they thoroughly explain at the bottom of the form. For example if the client marks yes for <br /> number 1, we would need to know if they were stating yes to take medications or if they were stating yes to requiring <br /> antibiotics prior to dental procedures. For question 2 if they stated yes,we would need to know if they were allergic to <br /> just latex or just antibiotics, or both. Always ensure an explanation is written when ayes is given. You can also separate <br /> the questions,which would give you more numbered questions on your form, but the questions would be simpler. <br /> 1 <br />