· 7. Do you use cocaine or other drugs? Cl 8. Are you allergic or had an adverse reaction to any...

1

Transcript of  · 7. Do you use cocaine or other drugs? Cl 8. Are you allergic or had an adverse reaction to any...

Page 1:  · 7. Do you use cocaine or other drugs? Cl 8. Are you allergic or had an adverse reaction to any drugs or medications? [2 9. Are you in good health at this time? C] 10. Are you