div class=ts-pagebuttonPage 1button div class=ts-image a href=https:reader043vdocumentsusreader043viewer20220315075c96e2eb09d3f290768d4c95html5page1jpg target=_blank amp-img class=ts-thumb alt=Page 1: 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 src=https:reader043vdocumentsusreader043viewer20220315075c96e2eb09d3f290768d4c95html5thumbnails1jpg width=142 height=106 layout=responsive amp-imga divdivdiv class=ts-pagebuttonPage 2button div class=ts-image a href=https:reader043vdocumentsusreader043viewer20220315075c96e2eb09d3f290768d4c95html5page2jpg target=_blank amp-img class=ts-thumb alt=Page 2: 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 src=https:reader043vdocumentsusreader043viewer20220315075c96e2eb09d3f290768d4c95html5thumbnails2jpg width=142 height=106 layout=responsive amp-imga divdiv