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Family Medical History Chart
Fill out this chart with illnesses, health conditions and/or surgeries your blood relatives had or currently have. The goal of this chart is to focus on your family's overall health, not just cardiovascular health. So be sure to share it with your primary care physician as well as your cardiologist.
A list of conditions to focus on:
- Alcoholism / drug dependency
- Birth defects
- Cancers
- Cardiovascular disorders / diseases
- Diabetes
- Eye disorders
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- Kidney or liver disease
- Muscular or skeletal disorders
- Neurological or psychiatric disorders
- Respiratory disorders
- Skin disorders
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Fill out and share with your doctor
Content taken from the 2006 Wal-Mart Healthy Heart Resource Book
courtesy of Wal-Mart Stores, Inc.
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