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Has anyone in the family been treated for a major health condition in the last 12 months?
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Are there any major health conditions?
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Is anyone applying taking prescription medications?
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Do you have health Insurance or have you had health insurance in the last 30 days?
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Has any one in this request been hospitalized in the last 5 years (except pregnancy)?
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Has any one been denied coverage in the last 12 months?
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Is this any one in this request pregnant?
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