div class=ts-pagebuttonPage 1button div class=ts-image amp-img class=ts-thumb alt=Page 1: Ben Thompson DMDCold SoresFever O Yes O No Yes NO Heart Pacemaker Heart TroubleDisease O Yes No If yes Have you had any serious illness not listed above Yes No Corrments To src=https:reader034vdocumentsusreader034viewer20220504145f8b176df5d84321df1a201bhtml5thumbnails1jpg width=142 height=106 layout=responsive amp-img divdiv