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Ntinued from item 8 on form DS-874 Continued from item 7 on form DS-874 Continued from item 2 on form DS-874 This form is to be used ONLY as a supplement to the Medical Examination form (DS-874), and should be attached to that form when completed. This form (DS-874C) is not required to be used, but if additional space is needed by the examining medical staff or the driver being examined, this is the proper form to be used. HEALTH HISTORY (additional driver and/or medical examiner comments and.

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