{"text":"Sci Gateway - Clelland, Agnes M, CHI: 0809555328, i3-May-2010, ENT - Head, Ne... \nT \n1 \nClinical warnings \nAllergies \nDescription \n- [V]Personal history of drug allergy \n[V]Persbnal history of drug allergy \n[VIPersonal history of drug allergy \nHypersensitivity skin testing \nAdditional relevant information \nAdministrative information \nOK tosend correspondence to home address?:Yes \nPatient will accept any site:Yes - \nPatient will accept cancellation or short notice appointment (within 1-6 days):Yes \nPatient has disability or requires wheelchair access:No \nReferred By:Referring GP \n\u2019 ) , Electronic Attachment Present:No \nPage 5 of \u00a7 \nSignature of referring doctor (or other professional) Date \ne \u2014\u2014\u2014\u2014 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