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Health History Form - Centre Dermatology & Aesthetic Medicine 2025

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The document is a Patient Medical History Form for a dermatology and aesthetic medicine center. It collects essential information about the patient's medical history, including current medications, allergies, skin-related issues, other health concerns, family history of skin conditions, social habits, and specific questions for female patients regarding pregnancy. The form requires the patient's signature to confirm the accuracy of the provided information.

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