Ben Thompson, DMD...Cold Sores/Fever O Yes O No Yes NO Heart Pacemaker Heart Trouble/Disease O Yes...

1

Transcript of Ben Thompson, DMD...Cold Sores/Fever O Yes O No Yes NO Heart Pacemaker Heart Trouble/Disease O Yes...

Page 1: Ben Thompson, DMD...Cold Sores/Fever O Yes O No Yes NO Heart Pacemaker Heart Trouble/Disease O Yes No If yes Have you had any serious illness not listed above? Yes No Corrments; To