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Rebecca Hollendale
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MEDICAL RECORD
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- Height: 5'10
- Weight: 130
- Blood Type: O+
- T/E Rating: T0/E0
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PAST MEDICAL HISTORY
- Chronic Illnesses: None
- Medications: None
- Allergies and Reactions: None
- Sexual/Reproductive History:
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PAST HOSPITALIZATIONS/SERIOUS ILLNESS
PAST SURGICAL HISTORY
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PSYCHIATRIC HISTORY
SUBSTANCE USE HISTORY
- Alcohol: Recovering alcoholic
- Recreation Drugs: None
- Other: None
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FAMILY MEDICAL HISTORY
- Parent 1 (Mother): None
- Parent 2 (Father): None
- Siblings: None
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SOCIAL HISTORY
- Marital status:
- Children: 1 son
- Occupation/Assignment: Martial Arts Instructor
- Diet: Omnivore
- Exercise: 5-7 times per week
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PHYSICIANS' NOTES
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COUNSELORS' NOTES
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