He encontrado que alguna farmacia puede tener existencias limitadas de ciertos medicamentos, mientras que otras pueden tener casi cualquier formato que se le ocurra y el habitual de dosis habitualidad apareció. En resumen, siempre se contiene el almacén de corroborar. Al mismo tiempo que el producto que más que gustaba ha resultado no estaba disponible en stock otro distinto por las Buenas costumbres también debe buscarse jefe no asн parezca. Por eso es importante disponer de un Plan B para actuar cuandod ello no ocurra. Ventaja de tomar un genérico en lugar de Asix Un genérico es más barato que el nombre de marca Uno de los mayores incentivos para someterse al Dónde comprar Lasix genérico en lugar de pagar la marca es que usted puede obtener un ahorrando importantes Lasix genérico. Por lo tanto, un Lasix genérico es en general mucho más barato que el homólogo de marca, así que una denominación genérica se hace posible para las personas que usan este medicamento con frecuencia. Un ejemplo: La compra de lurosemida en lugar de Lasix es una considerable ahorro para el presupuesto mensual de medicamentos.

Microsoft word - medical history.doc

William D Kenfield DDS LLC
Patient Information

Patient Name_____________________________________________ Phone# ( )____________Cell# ( )_____________
Address ______________________________________ City ________________________State ____ Zip ________________ Social Security #_______________________Birth Date__________________ Male [] Female [] Marital Status__________ Parent/Guardian/Responsible Party Information
Name ______________________________________________ E-mail____________________________________________ Address_______________________________________City_________________________State_____Zip_______________ Employer___________________________________________________________Phone# (____) ______________________ Insurance Company Name_____________________________________________ Phone# (____) ______________________ Medical History
[] No [] Yes explain_______________________________________________ [] No [] Yes explain_______________________________________________ [] No [] Yes explain_______________________________________________ Have you ever had a serious head/neck injury? [] No [] Yes explain_______________________________________________ Have you taken bisphosphonates including Actonel, Fosamax, Boniva, Skelid, Zometa, Aredia, Didronel, or Clodronate? [] No [] Yes list___________________________________________________ [] No [] Yes explain________________________________________________ [] No [] Yes type__________________________________________________ Are you taking any medicines, drugs, pills, or herbal supplements including garlic, ginseng, genko, feverfew, vitamin E or fish oil? [] No [] Yes list_____________________________________________________
Are you allergic to any of the following? Please check the box below
[] Penicillin [] Codeine [] Latex [] Aspirin [] Local Anesthetics [] Acrylic [] Metal [] Other__________________
Women, are you:
Pregnant or trying to get pregnant? [] Yes [] No Taking birth control [] Yes [] No Nursing [] Yes [] No
Do you have, or have you had any of the following?
AIDS/HIV
Heart Valve Replaced [] Yes [] No Pregnancy [] Yes [] No Recent Weight Loss [] Yes [] No Have you had any serious illness not listed above? [] No [] Yes please explain______________________________________ _____________________________________________________________________________________________________ Dental History
Do you have a specific dental problem? Please describe________________________________________________________ _________________________________________________________________________________________ [] Yes [] No Do you have dental examinations on a routine basis? Last visit_______________________________________ [] Yes [] No Do you think that you have cavities or gum disease? _______________________________________________ [] Yes [] No Do your gums bleed? ________________________________________________________________________ [] Yes [] No Have you ever had periodontal (gum disease) treatment? ____________________________________________ [] Yes [] No Do you ever have popping, clicking, or discomfort in your jaw joint? Do you brux or grind your teeth? _______ [] Yes [] No Do you have pain near your ears or difficulty opening or closing your mouth____________________________ [] Yes [] No Do any of your teeth hurt when you bite?_________________________________________________________ [] Yes [] No Do you like your smile? If no, why? ____________________________________________________________ [] Yes [] No To the best of my knowledge, all of the preceding answers are correct. If I have any changes in my health status, or if my medicines change, I will inform the dentist or his staff at my next appointment. I understand that payment is my obligation regardless of insurance or any third party involvement. ___________________________________________ Date________________ Relationship to Patient __________________ Signature of Patient, Parent, or Guardian 2nd year signature_____________________________ Date________________ Relationship to Patient __________________ 3rd year signature_____________________________Date ________________ Relationship to Patient __________________ Referral Information
Whom may we thank for referring you to our office? [] Another Patient [] Yellow Pages [] Radio Advertisement [] Web Site [] Other Name of person referring you to our practice _________________________________________________________________ Who, if anyone (spouse, family member etc.), may we discuss your treatment with or release information to? _____________________________________________________________________________________________________

Source: http://www.kenfielddds.com/pdf/medical_history.pdf