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Untitled-2 [carepointanesthesia.com]€¦ · 2. 3. 4. Were there any complications during pregnancy or delivery? Delivery: [ ] VAGINAL [ ] C-SECTION If C-Section, reason: Was your

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Page 1: Untitled-2 [carepointanesthesia.com]€¦ · 2. 3. 4. Were there any complications during pregnancy or delivery? Delivery: [ ] VAGINAL [ ] C-SECTION If C-Section, reason: Was your
Page 2: Untitled-2 [carepointanesthesia.com]€¦ · 2. 3. 4. Were there any complications during pregnancy or delivery? Delivery: [ ] VAGINAL [ ] C-SECTION If C-Section, reason: Was your
Page 3: Untitled-2 [carepointanesthesia.com]€¦ · 2. 3. 4. Were there any complications during pregnancy or delivery? Delivery: [ ] VAGINAL [ ] C-SECTION If C-Section, reason: Was your
Page 4: Untitled-2 [carepointanesthesia.com]€¦ · 2. 3. 4. Were there any complications during pregnancy or delivery? Delivery: [ ] VAGINAL [ ] C-SECTION If C-Section, reason: Was your