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Demo clinic
Multi Specialty Clinic
Hypothyroidism review
Hypothyroidism review
Weight:
*
Pulse:
*
Have you had any significant change in weight over the last 9 months?
*
Intentional weight gain
Intentional weight loss
Unintentional weight gain
Unintentional weight loss
No change in weight
Have you had your blood tested for thyroid in the last 9 months?
*
Yes
No
I can’t remember
If you are human, leave this field blank.
Submit