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Download the Patient Intake Form (as a PDF) of phlegm Coughing up blood Pneumonia Bleed or bruise Easily Peculiar taste Describe Cold hands or feet Poor circulation Shortness of breath

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Page 1: Download the Patient Intake Form (as a PDF) of phlegm Coughing up blood Pneumonia Bleed or bruise Easily Peculiar taste Describe Cold hands or feet Poor circulation Shortness of breath
Page 2: Download the Patient Intake Form (as a PDF) of phlegm Coughing up blood Pneumonia Bleed or bruise Easily Peculiar taste Describe Cold hands or feet Poor circulation Shortness of breath
Page 3: Download the Patient Intake Form (as a PDF) of phlegm Coughing up blood Pneumonia Bleed or bruise Easily Peculiar taste Describe Cold hands or feet Poor circulation Shortness of breath
Page 4: Download the Patient Intake Form (as a PDF) of phlegm Coughing up blood Pneumonia Bleed or bruise Easily Peculiar taste Describe Cold hands or feet Poor circulation Shortness of breath

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