DTBL Health Questionaire


 Penicillin
 Other Antibiotics
 Other Medicines
 Insect Bites/Stings
 Other Allergies
 Allergies
 Asthma
 Bleeding Disorder
 Cancer
 Colitis
 Diabetes
 Epilepsy
 Seizures
 Heart Disease
 Hernia
 High Blood Pressure
 Joint Injury/surgery
 Kidney Disease
 Neck/Back Pain injury
 Mental Problems
 Rheumatic Fever
 Tuberculosis
 Ulcers