name of medication dosage frequency reason taking sulfa x-ray …€¦ · haycock foot & ankle...

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Page 1: Name of Medication Dosage Frequency Reason taking Sulfa x-Ray …€¦ · Haycock Foot & Ankle Center Check-ln Form Revised 10/1/2019 Back Pain Foot or Leg Cramps Foot Pain Heel Pain
Page 2: Name of Medication Dosage Frequency Reason taking Sulfa x-Ray …€¦ · Haycock Foot & Ankle Center Check-ln Form Revised 10/1/2019 Back Pain Foot or Leg Cramps Foot Pain Heel Pain