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benign prostatic 2
benign prostatic 2
lamiahamid
2019-12-25T09:32:53-05:00
Do you have benign prostatic hyperplasia?
*
Yes
No
Unsure
Are you currently on any therapy for benign prostatic hyperplasia (BPH)?
*
Yes
No
What therapy are you on for BPH?
Please list the medications are you currently taking
Medication
Date
MM
DD
YYYY
Do you have hypertension?
Yes
No
Address
*
