div class=trans-pagebuttonPage 1button div class=trans-image amp-img class=trans-thumb alt=Page 1: Patient Name Date Family History known medical problems such as allergies asthma hay fever heart disease high blood pressure sinus headaches etc Note … src=https:reader036fdocumentsinreader036viewer20220626065fe947590adcd577561a0edehtml5thumbnails1jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 2button div class=trans-image amp-img class=trans-thumb alt=Page 2: Patient Name Date Family History known medical problems such as allergies asthma hay fever heart disease high blood pressure sinus headaches etc Note … src=https:reader036fdocumentsinreader036viewer20220626065fe947590adcd577561a0edehtml5thumbnails2jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 3button div class=trans-image amp-img class=trans-thumb alt=Page 3: Patient Name Date Family History known medical problems such as allergies asthma hay fever heart disease high blood pressure sinus headaches etc Note … src=https:reader036fdocumentsinreader036viewer20220626065fe947590adcd577561a0edehtml5thumbnails3jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 4button div class=trans-image amp-img class=trans-thumb alt=Page 4: Patient Name Date Family History known medical problems such as allergies asthma hay fever heart disease high blood pressure sinus headaches etc Note … src=https:reader036fdocumentsinreader036viewer20220626065fe947590adcd577561a0edehtml5thumbnails4jpg width=142 height=106 layout=responsive amp-img divdivdiv class=trans-pagebuttonPage 5button div class=trans-image amp-img class=trans-thumb alt=Page 5: Patient Name Date Family History known medical problems such as allergies asthma hay fever heart disease high blood pressure sinus headaches etc Note … src=https:reader036fdocumentsinreader036viewer20220626065fe947590adcd577561a0edehtml5thumbnails5jpg width=142 height=106...