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Personal Medical History <br /> Name: <br /> Alcoholism Diabetes STDS <br /> Blood Pressure Drug Addiction Sleep apnea <br /> Alzheimer's Depression Schizophrenia <br /> Arthritis Hearing Impairment Skin Cancer <br /> Anxiety Heart Attack Sickle Cell Anemia <br /> Asthma Heart Disease Tuberculosis <br /> Anemia Hemophilia or Other bleeding disorders Thyroid Problems <br /> Anaphylaxis Hepatitis A,B,C L— <br /> Tetanus <br /> Allergic Reaction to latex Herpes Infection at the Procedure Site UTI <br /> Allergic Reaction to Antibiotics HIV Ulcer <br /> Amblyopia Kidney Diseases Vertigo <br /> Breast Cancer liver Disease Vitamin Deficiency <br /> Bowel Disease lupus Visual Impairment <br /> Blood Clots Migraine Notes <br /> Pregnant Mental Illness <br /> Bipolar Disorder Obesity <br /> Bronchitis BCD <br /> Cardiovascular Disease Bsteoparosis <br /> Cardiac Valve Disease Prostate Cancer <br /> Cervical Cancer PTSD <br /> COPD Parkinson's <br /> e <br /> Crohn's Disease Seizures <br /> --�� —� <br /> Cholesterol Stroke <br /> — k <br />