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CAP MEMBER HEALTH HISTORY FORM - Civil Air Patrol
Ever use an inhaler Epilepsy or seizure Short of Breath with activity Stroke, paralysis Heart Attack, chest pain, angina Thyroid problems (low or high) Heart murmur, heart problems Diabetes, high or low blood sugars ... proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical
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