Medical Information Short List
| Full name |
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| Nationality |
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| Local address |
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| Phone # |
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| Date of birth |
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| Personal physician name |
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| Personal physician phone |
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| Insurer and policy number |
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| Allergies (medication, vaccine, food)
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| Medications your are taking
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| Important medical problems you have had (surgeries, diseases, etc.) |
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