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Get Tx Killeen Fire Academy Medical History Form 2003-2024

HISTORY: Explain "Yes" answers on the back 1.Have you ever been hospitalized? 2.Have you ever had surgery? Yes / No Yes / No Yes / No 3.Do you have any allergies (medicine, bees or other stinging insects? Yes / No 4.Have you ever passed out during or after exercise? Yes / No 5.Have you ever been dizzy during or after exercise? Yes / No 6.Have you ever had chest pain during or after exercise? Yes / No 7.Do you tire more quickly than your friend during exercise do? Yes / No 8.Hav.

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