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Get Dd Form 2492 2010-2024

CURRENT MEDICATION REGULAR OR INTERM. c. ALLERGIES Include insect bites/stings and common foods e. WEIGHT d. HEIGHT 8. PATIENT S OCCUPATION 9. ARE YOU Check one RIGHT HANDED LEFT HANDED 10. PAST/CURRENT MEDICAL HISTORY CHECK EACH ITEM DON T YES NO KNOW Household contact with anyone with tuberculosis Shortness of breath Bone joint or other deformity Pain or pressure in chest Loss of finger or toe Tuberculosis or positive TB test Chronic cough Bloo.

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