div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imageimg data-url=medical-history-form-simon-eye-associates-2020-9-7-medical-history-socialhtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: MEDICAL HISTORY FORM - Simon Eye Associates · 2020 9 7 · Medical History SOCIAL HISTORY NAME: PLEASE LIST ALL MEDICATIONS Nose Mouth Throat Sinus Problems Heart Problems loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentsmxreader034viewer20220519045ff52ce2b91e6d57d146f95ehtml5thumbnails1jpg width=140 height=200 divdiv