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Vital Information

Covid-19

Negative Test Results
Vaccine Proof

Date:01/04/2021

Click to view Proof

Allergies

Bee Stings

Prescriptions/Supplements

Carvedilol - 3.125 mg Twice Daily

Asprin - 81 mg Daily

Rosuvastatin 10mg Twice Daily

Medical History

High Blood Pressure

Cardiac Issues,

Type 2 Diabetic

Surgical History

1991 Back surgery

2002 Lasik Surgery both Eyes

Symptoms

At times when my blood pressure is very low, I become lethargic and find it difficult to communicate.

Blood Type

B+

Birth Year

1972

Emergency Contacts

Joanne Jones

Sally (Daughter)

Jerry (Son)

Pharmacy/Doctors

CVT Pharmacy

Dr. Switzer

Directives

Living Will

DNR

Medical POA


To view these documents please contact


Joanne Jones

General Information

Home Town

Naples Florida

Personal Notes

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