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Nikesh K. Patel, MD
axã exyÄxvà|ÉÇá cÄtáà|v fâÜzxÜç 509 Stillwells Corner Road, Suite E5
Freehold, New Jersey 07728
(732) 354-3792

Please complete Medical History Form to the best of your ability
Name ___________________________________________________ Age _____ Height _______ Weight ___________
Purpose of Consultation
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How did you hear about Dr. Patel? ____________________________________________________________________
Please circle all of the following medical conditions that you have or have had in the past:
Bleeding tendency hepatitis diabetes blood transfusion glaucoma dry eyes lung disease TB asthma
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epilepsy heartburn intestinal ulcers or bleeding depression mental illness drug or alcohol addiction any other
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Please list any medications or herbal products that you take on a regular or occasional basis. If you can, please also
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Do you have any allergies to medications? ____________ If so, please list drug and reaction: _____________________
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Has anyone in your family or you ever suffered from diabetes, high blood pressure, breast cancer or odd reactions to
anesthesia. Please list:
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Smoking can complicate surgery:
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Please list all previous surgeries that you have had :
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Patient Signature: _______________________________________ Date: _________________ rev. 8/08

Source: http://www.newreflectionsps.com/forms/Medical_History_Form.pdf

Foster contra el pluralismo.pmd

Episteme, Eutopías, Documentos de trabajo, vol. 186, Valencia,España, 1998, 24 págs. Reprod. en: La Gaceta de Cuba , LaHabana, nº 5, septiembre-octubre del 2000, pp. 34-39 Contra el pluralismo * El arte existe hoy día en un estado de pluralismo: ningún estilo, o siquieramodo de arte, es dominante y ninguna posición crítica es ortodoxa. Peroeste estado es también una posición, y est

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EDUCATIONAL PSYCHOLOGIST, 45 (1), 15–27, 2010Copyright C Division 15, American Psychological AssociationISSN: 0046-1520 print / 1532-6985 onlineDOI: 10.1080/00461520903433539Cognitive–Situative Divide and CombiningIn this article we propose that in order to advance our understanding of motivation in collab-orative learning we should move beyond the cognitive–situative epistemological di

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