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Growth Hormone Peptide Medical Questionnaire

This Medical Questionnaire is designed to ensure that it is safe for you to commence a program of growth hormone (GH) secreting peptides. GH peptides and GH treatment have been proven to be safe and very effective, provided certain diseases are not present, overdoses are not consumed and possible side effects are checked. Please complete the requested sections and follow the prompts.

Yes    No

Please select your objective(s) *

     
     
     
     
     
     
     
     
     

Current High Risk Symptoms
Yes    No
Yes    No
Yes    No
Yes    No
Yes    No
Yes    No

Current Medical History
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Yes    No
Yes    No
Yes    No
Yes    No
Yes    No
Yes    No

Past Medical History
Yes    No
Yes    No
Yes    No
Yes    No

Medications
Yes    No
Yes    No

Allergies
Yes    No
Yes    No