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CATIONS 4. HOSPITALIZATIONS/SURGERIES 5. COUNSELING F FITNESS a. DATE D DENTAL b. AGE I INJURY PREVENTION c. TOPIC N NUTRITION/FOLATE C CANCER PREVENTION S SAFE SEX d. DATE FP FAMILY PLANNING e. AGE RX PRESENT MEDICATIONS f. TOPIC MH MENTAL HEALTH/STRESS/SUICIDE/ OCCUPATIONAL STRESS H HORMONE/CALCIUM REPLACEMENT g. DATE To TOBACCO h. AGE A ALCOHOL/SUBSTANCE ABUSE i. TOPIC t TRAVEL o OCCUPATIONAL EXPOSURE (HEARING THRESHOLD CHANGES/ CUMULATIVE TRAUMA DISORDER.

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