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Do any of the following conditions apply to you?

  • Any surgery or hospitalization in the last 5 years or any pending, planned or
  •  Seizures or epilepsy
  • Hemophilia or blood disorder
  • Currently pregnant, premature delivery, or multiple births
  • Heart attack, heart disease, heart problems
  • Sleep apnea
  •  Brain tumor, stroke, ALS or Parkinson’s, memory disorders
  • Emphysema, COPD
  • Currently prescribed specialty drugs and/or medications for anxiety or depression
  • Cancer in the last 10 years including, tumors, lymphoma, or any type of transplant,
  • Kidney failure, dialysis, or disorder of the liver, stomach, pancreas, colon, or bladder
  •  Auto-Immune disease such as Crohn’s, Arthritis, Lupus, MS, AIDS, or HIV, Diabetes, or