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Get AU Underwater Safaris Scuba Diving Medical Form For Sports Divers 2017-2024
Ames 2) Date of birth 3 Address Phone (home) 4 Sex 5 Principal occupation 6 Do you participate in any regular physical activity? 7 Description of activity 8 9 10 If yes how many drinks per week? 11 Are you taking any tablets. medicines or Other drugs? YES NO List: Do you have any allergies? YES NO Details: 12 13 Male Female Phone (work) YES NO Do you smoke? YES NO Do you drink alcohol? YES NO Have you had any reactions to drugs, medicines or food? YES NO Details: Hav.
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