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Page 1:  · 2020-06-01 · Health History Date of last visit Physician's Name Have you ever taken any of the group of drugs collectively referred to as "fen-phen?" These include combinations

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Patient History Questionnaire (bariatric).docx - Google DocsBirth Control Pills ... Fen/Phen/Redux Meridia ... Please indicate which foods would most likely make you go off the diet

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Huntington Bay Dentalhuntingtonbaydental.com/pdf/NP_Forms_Combined-nov2017.pdf · Are you taking any medications, pills, or drugs? Do you take, or have you taken, Phen-Fen or Redux?

you take, or have you taken, Phen-Fen or Redux? C) Yes O Have you ever taken Fosamax, Boniva, Actonel or any O Yes 0 other medications containing bisphosphonates? Are you on a special

375 Sixth Street Hello from JD … · 375 Sixth Street Dover, NH 03820 ... Do you take, or have you taken, Phen-Fen, Fosamax, ... Oral cancer has 3 times as many victims as cervical

History Please answer the following questionst Have you ever been hospitalized or had major operation? Do you use tobacco? C) No Do you take, or have you taken? Phen-Fen C) No C) No

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In the Superior Court of Pennsylvania · The medication Redux was a so–called Fen–phen medication sold to promote weight loss. “Fen–phen” refers to the use of fenfluramine

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Document1 - Home | Huntington Bay Dentalhuntingtonbaydental.com/pdf/patientforms-apr2016.pdf · Are you taking any medications, pills. or drugs? Do you take, or have you taken. Phen-Fen