Allergies
Are you allergic to any of the following?
Codeine Sulfa drugs Penicillin Latex Iodine/Betadine/Intravenous dye none

Do you have any other allergies in the following categories? (add detail in Step 3)
Medications Foods Environmental Insect stings Animal dander other none

Medications
Do you take any of these medications? (add detail in Step 3)

	albuterol		Echinacea		lithium		Prilosec
	aspirin		Ginko Biloba		Motrin		propranolol hcl
	birth control pills		ibuprofen		nifedipine		Prozac
	codeine		Inderal		nitroglycerin		Ritalin
	Coumadin		insulin		nitropaste		Zantac
	digoxin		Lanoxin		prednisone		none
	Dilantin		Lasix		Premarin

Do you take any prescription or over-the-counter medication not listed above? yes no

Do you take any herbal medication not listed above? yes no

Conditions/Illnesses
Have you been diagnosed with any of these medical conditions or illnesses? (add detail in Step 3)

Anemia Angina (chest pain) Arrythmia (irregular heart beat) Arthritis Asthma Bleeding disorder

Diabetes Emphysema Gastrointestinal bleeding Heart failure Hepatitis High blood pressure

Human immunodeficiency virus (HIV) Kidney disease Liver disease Lupus Neurological disease, unspecified Seizures

Stroke Tuberculosis (TB) Ulcer none

Have you been diagnosed with any conditions or illnesses in the following areas (not listed above)?

"Endocrine, Nutritional, Metabolic System" Infectious & Parasitic Disease Neurologic System (Nervous system & Brain) "Sense Organs (Eyes, Ears)"

Neck Cardiovascular System (Heart) "Respiratory System (Lungs, Nose/Sinus)" Breast

Digestive System "Genitourinary (Kidney, Gynecologic/Urologic)" Musculoskeletal System (Bone & Joint) Skin

Blood & Lymphatic System Congenital Anomalies Pregnancy/Childbirth Mental Disorders none

If you have been diagnosed with a rare syndrome or genetic disorder (i.e. Hemophilia, Lou Gehrig's Disease), please select the diagnosis name: none Aarskog Syndrome Aase Syndrome Ablepharon Macrostomia Syndrome Acanthocheilonemiasis Acanthocytosis Acanthosis Nigricans Achalasia Achard Thiers Syndrome Achondrogenesis Achondroplasia Acidemia, Isovaleric Acidemia, Methylmalonic Acidemia, Propionic Acne Rosacea Acoustic Neuroma Acrocallosal Syndrome, Schinzel Type Acrodermatitis Enteropathica Acrodysostosis Acromegaly Acromesomelic Dysplasia Acromicric Dysplasia ACTH Deficiency Adams Oliver Syndrome Addison's Disease Adenoid Cystic Carcinoma Adie Syndrome Adrenal Hyperplasia, Congenital (General) Adrenoleukodystrophy Afibrinogenemia, Congenital Agammaglobulinemias, Primary Agenesis of Corpus Callosum Agnosia, Primary Visual Agranulocytosis, Acquired Ahumada Del Castillo Syndrome Aicardi Syndrome Alagille Syndrome Albinism Alexander's Disease Alkaptonuria Allan Herndon Syndrome Alopecia Areata Alpers Disease Alpha-1-Antitrypsin Deficiency Alport Syndrome Alstrom Syndrome Alternating Hemiplegia of Childhood Alveolitis, Extrinsic Allergic Alveolitis, Fibrosing Alzheimer's Disease Ameloblastoma Amelogenesis Imperfecta Amenorrhea, Primary Amniotic Bands Amyloidosis Amyotrophic Lateral Sclerosis Anaphylaxis Andersen Disease Anemia, Aplastic Anemia, Blackfan Diamond Anemia, Fanconi's Anemia, Hemolytic, Acquired Autoimmune Anemia, Hemolytic, Cold Antibody Anemia, Hemolytic, Warm Antibody Anemia, Hereditary Nonspherocytic Hemolytic Anemia, Hereditary Spherocytic Hemolytic Anemia, Megaloblastic Anemia, Pernicious Anemia, Sideroblastic Anencephaly Angelman Syndrome Angioedema, Hereditary Aniridia Aniridia Cerebellar Ataxia Mental Deficiency Ankylosing Spondylitis Anodontia Anorexia Nervosa Antiphospholipid Syndrome Antisocial Personality Disorder Antithrombin III Deficiency Antley Bixler Syndrome APECED Syndrome Apert Syndrome Aplasia Cutis Congenita Apnea, Infantile Apnea, Sleep Apraxia Apraxia, Ocular Motor, Cogan Type Arachnoid Cysts Arachnoiditis Arginase Deficiency Arginino Succinic Aciduria Arnold Chiari Syndrome Arteriovenous Malformation Arteritis, Giant Cell Arteritis, Takayasu Arthritis, Infectious Arthritis, Juvenile Arthritis, Psoriatic Arthrogryposis Multiplex Congenita Asherman's Syndrome Aspartylglycosaminuria Asperger's Syndrome Aspergillosis Astrocytoma, Benign Astrocytoma, Malignant Ataxia Telangiectasia Ataxia, Friedreich's Ataxia, Hereditary Ataxia, Marie's Attention Deficit Hyperactivity Disorder Autism Babesiosis back fill Balantidiasis Baller Gerold Syndrome Balo Disease Bannayan Riley Ruvalcaba Syndrome Banti's Syndrome Bardet Biedl Syndrome Barrett Esophagus Bartonellosis Bartter's Syndrome Batten Disease Beals Syndrome Beckwith Wiedemann Syndrome Behcet's Syndrome Bejel Bell's Palsy Benign Essential Tremor Bernard Soulier Syndrome Berylliosis Biliary Atresia, Extrahepatic Binswanger's Disease Bjornstad Syndrome Blastomycosis Blepharophimosis, Ptosis, Epicanthus Inversus Syndrome Blepharospasm, Benign Essential Bloom Syndrome Blue Diaper Syndrome Blue Rubber Bleb Nevus Borjeson Syndrome Botulism Bowen Hutterite Syndrome Branchio Oculo Facial Syndrome Branchio Oto Renal Syndrome Broad Beta Disease Bronchopulmonary Dysplasia (BPD) Brown Sequard Syndrome Brown Syndrome Brucellosis Bubonic Plague Budd Chiari Syndrome Bulimia Bullous Pemphigoid Burning Mouth Syndrome C Syndrome Camptomelic Syndrome Candidiasis Carbamyl Phosphate Synthetase Deficiency Carbohydrate deficient Glycoprotein Syndrome Type Ia Carboxylase Deficiency, Multiple Carcinoid Syndrome Cardio Auditory Syndrome Cardiofaciocutaneous Syndrome Carnitine Deficiency Syndromes Carnitine Palmitoyltransferase Deficiency Carnosinemia Caroli Disease Carpal Tunnel Syndrome Carpenter Syndrome Castleman's Disease Cat Eye Syndrome Cat Scratch Disease Cataract Dental Syndrome Catel Manzke Syndrome Caudal Regression Syndrome Cavernous Hemangioma Cayler Syndrome Celiac Sprue Central Core Disease Central Hypoventilation Syndrome, Congenital Cerebellar Agenesis Cerebellar Degeneration, Subacute Cerebral Palsy Cerebro Oculo Facio Skeletal Syndrome Cerebrocostomandibular Syndrome Chagas Disease Chalazion Chandler's Syndrome Charcot Marie Tooth Disease CHARGE Association Chediak Higashi Syndrome Chiari Frommel Syndrome Chikungunya Chlamydia Cholangitis, Primary Sclerosing Cholera Cholestasis Chondrocalcinosis, Familial Articular Chorea, Sydenham's Choroideremia Choroiditis, Serpiginous Chromosome 10, Distal Trisomy 10q Chromosome 10, Monosomy 10p Chromosome 11, Partial Monosomy 11q Chromosome 11, Partial Trisomy 11q Chromosome 13, Partial Monosomy 13q Chromosome 14 Ring Chromosome 14, Trisomy Mosaic Chromosome 15 Ring Chromosome 15, Distal Trisomy 15q Chromosome 18, Monosomy 18p Chromosome 18, Ring Chromosome 18, Tetrasomy 18p Chromosome 18q- Syndrome Chromosome 21 Ring Chromosome 22 Ring Chromosome 22, Trisomy Mosaic Chromosome 3, Monosomy 3p2 Chromosome 3, Trisomy 3q2 Chromosome 4 Ring Chromosome 4, Monosomy 4q Chromosome 4, Monosomy Distal 4q Chromosome 4, Partial Trisomy Distal 4q Chromosome 4, Trisomy 4p Chromosome 5, Trisomy 5p Chromosome 6 Ring Chromosome 6, Partial Trisomy 6q Chromosome 7, Monosomy 7p2 Chromosome 8, Monosomy 8p2 Chromosome 9 Ring Chromosome 9, Partial Monosomy 9p Chromosome 9, Tetrasomy 9p Chromosome 9, Trisomy 9p (Multiple Variants) Chromosome 9, Trisomy Mosaic Chronic Fatigue Syndrome Chronic Inflammatory Demyelinating Polyneuropathy Churg Strauss Syndrome Ciguatera Fish Poisoning Citrullinemia Cleft Palate and Cleft Lip Cleidocranial Dysplasia Clubfoot Coats' Disease Cochin Jewish Disorder Cockayne Syndrome Coffin Lowry Syndrome Coffin Siris Syndrome Cogan Reese Syndrome Cohen Syndrome Colitis, Collagenous Colitis, Ulcerative Colorado Tick Fever Common Variable Immunodeficiency Condyloma Cone Dystrophy Congenital Varicella Syndrome Conjunctivitis, Ligneous Conn Syndrome Conradi Hunermann Syndrome Conversion Disorder Cor Triatriatum Corneal Dystrophy Cornelia de Lange Syndrome Corticobasal Degeneration Costello Syndrome Cowpox Craniofrontonasal Dysplasia Craniometaphyseal Dysplasia Craniosynostosis, Primary Creutzfeldt Jakob Disease Cri du Chat Syndrome Crigler Najjar Syndrome Type I Crohn's Disease Cronkhite Canada Disease Crouzon Disease Cryoglobulinemia, Essential Mixed Cryptococcosis Cushing Syndrome Cutis Laxa Cutis Marmorata Telangiectatica Congenita Cyclic Vomiting Syndrome Cystic Fibrosis Cystic Hygroma Cysticercosis Cystinosis Cystinuria Cytochrome C Oxidase Deficiency Cytomegalovirus Infection Dandy Walker Malformation Darier Disease De Barsy Syndrome De Santis Cacchione Syndrome Degos Disease Dejerine Sottas Disease Dengue Fever Dentin Dysplasia, Coronal Dentin Dysplasia, Radicular Dentinogenesis Imperfecta Type III Depersonalization Disorder Dercum Disease Dermatitis, Atopic Dermatitis, Contact Dermatomyositis Devic Disease Dextrocardia with Situs Inversus Diastrophic Dysplasia Diencephalic Syndrome DiGeorge Syndrome Dilatation of the Pulmonary Artery, Idiopathic Diverticulitis Diverticulosis DOOR Syndrome Down Syndrome Dracunculosis Drash Syndrome Duane Syndrome Dubin Johnson Syndrome Dubowitz Syndrome Duhring Disease Duodenal Atresia or Stenosis Dupuytren's Contracture Dyggve Melchior Clausen Syndrome Dysautonomia, Familial Dyschondrosteosis Dyskeratosis Congenita Dyslexia Dysphonia, Chronic Spasmodic Dysplasia, Epiphysealis Hemimelica Dysplasia, Fibrous Dysplastic Nevus Syndrome Dysthymia Dystonia Dystrophy, Asphyxiating Thoracic Dystrophy, Myotonic Eales Disease Ear, Patella, Short Stature Syndrome Eaton Lambert Syndrome Ectodermal Dysplasias Ectrodactyly Ectodermal Dysplasia Cleft Lip/Palate Edema, Idiopathic Ehlers Danlos Syndrome Eisenmenger Syndrome Elephantiasis Ellis Van Creveld Syndrome Emphysema, Congenital Lobar Empty Sella Syndrome Encephalitis, Herpetic Encephalitis, Japanese Encephalitis, Rasmussen's Encephalocele Encephalomyelitis, Myalgic Endocardial Fibroelastosis (EFE) Endocarditis, Infective Endometriosis Endomyocardial Fibrosis Engelmann Disease Enterobiasis Eosinophilia Myalgia Eosinophilic Fasciitis Epidermal Nevus Syndrome Epidermolysis Bullosa Epidermolytic Hyperkeratosis Epididymitis Epilepsy, Myoclonic Progressive Familial Epitheliopathy, Acute Posterior Multifocal Placoid Pigment Erb's Palsy Erdheim Chester Disease Erysipelas Erythema Multiforme Erythrokeratodermia with Ataxia Erythromelalgia Erythropoietic Protoporphyria (EPP) Esophageal Atresia and/or Tracheoesophageal Fistula Essential Iris Atrophy Exostoses, Multiple Exstrophy of the Bladder Fabry Disease Facioscapulohumeral Muscular Dystrophy Factor IX Deficiency Factor XIII Deficiency Fahr's Disease Fairbank Disease Farber's Disease Fascioliasis Felty Syndrome Femoral Facial Syndrome Fetal Alcohol Syndrome Fetal Hydantoin Syndrome Fetal Valproate Syndrome FG Syndrome Fiber Type Disproportion, Congenital Fibrodysplasia Ossificans Progressiva (FOP) Fibromatosis, Congenital Generalized Fibromyalgia Filariasis Filippi Syndrome Fitz Hugh Curtis Syndrome Floating Harbor Syndrome Focal Dermal Hypoplasia Forbes Albright Syndrome Forbes Disease Forestier's Disease Formaldehyde Poisoning Fountain Syndrome Fox Fordyce Disease Fragile X Syndrome Fraser Syndrome Freeman Sheldon Syndrome Frey's Syndrome Froelich's Syndrome Frontofacionasal Dysplasia Frontonasal Dysplasia Fructose Intolerance, Hereditary Fructosuria Fryns Syndrome Fucosidosis Galactosemia Galloway Mowat Syndrome Gardner Syndrome Gastritis, Chronic, Erosive Gastritis, Giant Hypertrophic Gastroenteritis, Eosinophilic Gastroesophageal Reflux Gastroschisis Gaucher Disease Gerstmann Syndrome Gianotti Crosti Syndrome Giardiasis Gilbert Syndrome Glioblastoma Multiforme Glucose Galactose Malabsorption Glucose-6-Phosphate Dehydrogenase Deficiency Glutaricaciduria I Glutaricaciduria II Glycogen Storage Disease VIII Goldenhar Syndrome (Oculo Auriculo Vertebral Spectrum) Goodman Syndrome Goodpasture Syndrome Gordon Syndrome Gorham's Disease Gorlin Chaudhry Moss Syndrome Gottron's Syndrome Gouty Nephropathy, Familial Graft versus Host Disease Granuloma Annulare Granulomatosis, Lymphomatoid Granulomatous Disease, Chronic Graves' Disease Greig Cephalopolysyndactyly Syndrome Grover's Disease Growth Delay, Constitutional Growth Hormone Deficiency Guillain Barre Syndrome Hageman Factor Deficiency Hajdu Cheney Syndrome Hallermann Streiff syndrome Hallervorden Spatz Disease Hand Foot Mouth Syndrome Hanhart Syndrome Hantavirus Pulmonary Syndrome Hartnup Disease Hashimoto's Syndrome Hay Well's Syndrome Headache, Cluster Heart Block, Congenital Heavy Metal Poisoning Hemangioma Thrombocytopenia Syndrome Hematuria, Benign, Familial Hemochromatosis, Hereditary Hemoglobinuria, Paroxysmal Cold Hemoglobinuria, Paroxysmal Nocturnal Hemolytic Uremic Syndrome Hemophilia Hemorrhagic Telangiectasia, Hereditary Hepatic Fibrosis, Congenital Hepatitis, Neonatal Hepatorenal Syndrome Hermansky Pudlak Syndrome Hermaphroditism, True Herpes, Neonatal Hers Disease Hiccups, Chronic Hidradenitis Suppurativa Hirschsprung's Disease Histidinemia Histiocytosis X Holoprosencephaly Holt Oram Syndrome Homocystinuria Horner's Syndrome Human Granulocytic Ehrlichiosis (HGE) Human Monocytic Ehrlichiosis (HME) Hunter Syndrome Huntington's Disease Hurler Syndrome Hutchinson Gilford Progeria Syndrome Hydranencephaly Hydrocephalus Hyper IgM Syndrome Hypercholesterolemia Hyperchylomicronemia Hyperemesis Gravidarum Hyperexplexia Hyperhidrosis, Primary Hyperkalemia Hyperlipoproteinemia Type IV Hyperostosis Frontalis Interna Hyperoxaluria, Primary (Type I) Hyperprolinemia Type I Hyperprolinemia Type II Hyperthermia Hypochondroplasia Hypoglycemia Hypohidrotic Ectodermal Dysplasia Hypokalemia Hypomelanosis of Ito Hypoparathyroidism Hypophosphatasia Hypoplastic Left Heart Syndrome Hypotension, Orthostatic Hypotonia, Benign Congenital I Cell Disease Ichthyosis Ichthyosis Congenita Ichthyosis Hystrix, Curth Macklin Type Ichthyosis Vulgaris Ichthyosis, Chanarin Dorfman Syndrome Ichthyosis, CHILD Syndrome Ichthyosis, Erythrokeratodermia Progressiva Symmetrica Ichthyosis, Erythrokeratodermia Variabilis Ichthyosis, Erythrokeratolysis Hiemalis Ichthyosis, Harlequin Type Ichthyosis, Keratosis Follicularis Spinulosa Decalvans Ichthyosis, Lamellar Recessive Ichthyosis, Netherton Syndrome Ichthyosis, Sjogren Larsson Syndrome Ichthyosis, Tay Syndrome Ichthyosis, X Linked IgA Nephropathy Imperforate Anus Incontinentia Pigmenti Interstitial Cystitis Intestinal Pseudoobstruction Irritable Bowel Syndrome Isaacs' Syndrome Ivemark Syndrome Jackson Weiss Syndrome Jansen Type Metaphyseal Chondrodysplasia Jarcho Levin Syndrome Jejunal Atresia Job Syndrome Johanson Blizzard Syndrome Joseph's Disease Joubert Syndrome Juberg Marsidi Syndrome Jumping Frenchmen of Maine Kabuki Make-up Syndrome Kallmann Syndrome Kartagener Syndrome Kawasaki Disease KBG Syndrome Kearns Sayre Syndrome (KSS) Kennedy Disease Kenny Caffe Syndrome Keratitis Ichthyosis Deafness Syndrome Keratoconjunctivitis, Vernal Keratoconus Keratomalacia Keratosis, Seborrheic Kernicterus Kienbock Disease Kikuchi's Disease Kinsbourne Syndrome Kleine Levin Syndrome Klinefelter Syndrome Klippel Feil Syndrome Klippel Trenaunay Syndrome Kluver Bucy Syndrome Kniest Syndrome Kohler Disease Korsakoff's Syndrome Kufs Disease Kugelberg Welander Syndrome Laband Syndrome Lactose Intolerance LADD Syndrome Landau Kleffner Syndrome Laron Dwarfism Larsen Syndrome Laurence Moon Syndrome Leber's Congenital Amaurosis Leber's Optic Atrophy Legg Calve Perthes Disease Legionnaire's Disease Leigh's Disease Leiner Disease Lennox Gastaut Syndrome Lenz Microphthalmia Syndrome LEOPARD Syndrome Leprechaunism Leprosy Leptospirosis Leri Pleonosteosis Lesch Nyhan Syndrome Leukodystrophy Leukodystrophy, Canavan's Leukodystrophy, Krabbe's Leukodystrophy, Metachromatic Lichen Planus Lichen Sclerosus Lipodystrophy Lissencephaly Listeriosis Locked In Syndrome Loken Senior Syndrome Long Chain Acyl CoA Dehydrogenase Deficiency (LCAD) Lowe Syndrome Lyelles Syndrome Lyme Disease Lymphadenopathy, Angioimmunoblastic with Dysproteinemia Lymphangioleiomyomatosis Lymphangioma, Cavernous Lymphedema, Hereditary Lymphocytic Infiltrate of Jessner Lynch Syndromes Macroglossia Macular Degeneration Macular Degeneration, Polymorphic Madelung's Disease Maffucci Syndrome Malaria Malignant Hyperthermia Mallory Weiss Syndrome Manic Depression, Bipolar Mannosidosis Maple Syrup Urine Disease Marcus Gunn Phenomenon Marden Walker Syndrome Marfan Syndrome Marinesco Sjogren Syndrome Maroteaux Lamy Syndrome Marshall Smith Syndrome Marshall Syndrome MASA Syndrome Mastocytosis Maxillofacial Dysostosis Maxillonasal Dysplasia, Binder Type May Hegglin Anomaly McArdle Disease McCune Albright Syndrome McKusick Type Metaphyseal Chondrodysplasia Measles Meckel Syndrome Mediterranean Fever, Familial Medium Chain Acyl CoA Dehydrogenase Deficiency Medullary Cystic Disease Medullary Sponge Kidney Medulloblastoma Megalocornea Mental Retardation Syndrome Meige Syndrome MELAS Syndrome Meleda Disease Melkersson Rosenthal Syndrome Melnick Needles Syndrome Meniere Disease Meningioma Meningitis Meningitis, Bacterial Meningitis, Meningococcal Meningitis, Tuberculous Meningococcemia Menkes Disease MERRF Syndrome Mesenteritis, Retractile Metatropic Dysplasia I Microvillus Inclusion Disease Mikulicz Syndrome Miller Syndrome Mitral Valve Prolapse Syndrome Mixed Connective Tissue Disease (MCTD) Moebius Syndrome Monilethrix Morquio Syndrome Motor Neuron Disease Mountain Sickness, Acute Moyamoya Disease Mucha Habermann Disease Mucolipidosis IV Mucopolysaccharidosis Mulibrey Nanism Syndrome (Perheentupa Syndrome) Mullerian Aplasia Multiple Sclerosis Multiple Sulfatase Deficiency Mulvihill Smith Syndrome Mumps MURCS Association Muscular Dystrophy, Becker Muscular Dystrophy, Duchenne Muscular Dystrophy, Emery Dreifuss Muscular Dystrophy, Fukuyama Type Muscular Dystrophy, Limb Girdle Muscular Dystrophy, Oculo Gastrointestinal Mutism, Selective Myasthenia Gravis Mycosis Fungoides Myelitis Myelofibrosis, Idiopathic Myeloma, Multiple Myhre Syndrome Myoclonus, General Myopathy, Congenital, Batten Turner Type Myopathy, Desmin Storage Myopathy, Myotubular Myopathy, Scapuloperoneal Myositis, Inclusion Body Myotonia Congenita N-Acetyl Glutamate Synthetase Deficiency Nager Syndrome Nail Patella Syndrome Narcolepsy Nelson Syndrome Nemaline Myopathy Neu Laxova Syndrome Neurasthenia Neuroacanthocytosis Neurofibromatosis Type 1 (NF-1) Neurofibromatosis Type 2 (NF-2) Neuroleptic Malignant Syndrome Neuropathy, Congenital Hypomyelination Neuropathy, Giant Axonal Neuropathy, Hereditary Sensory, Type I Neuropathy, Hereditary Sensory, Type II Neuropathy, Peripheral Neutropenia, Cyclic Neutropenia, Severe Chronic Nevoid Basal Cell Carcinoma Syndrome Nezelof's Syndrome Niemann Pick Disease Nocardiosis Non Ketotic Hyperglycinemia Noonan Syndrome Norrie Syndrome Nystagmus, Benign Paroxysmal Positional Obsessive Compulsive Disorder Ochoa Syndrome Oculo Dento Digital Dysplasia Oculocerebral Syndrome with Hypopigmentation Oculocerebrocutaneous Syndrome Olivopontocerebellar Atrophy Ollier Disease Opitz Syndrome Opportunistic Infections Oral Facial Digital Syndrome Organic Mood Syndrome Organic Personality Syndrome Ornithine Transcarbamylase Deficiency Orocraniodigital Syndrome Osgood Schlatter's Disease Osteogenesis Imperfecta Osteomyelitis Osteonecrosis Osteopetrosis Oto Palato Digital Syndrome Type I and II Pachydermoperiostosis Paget's Disease Paget's Disease of the Breast Pallister Hall Syndrome Pallister Killian Mosaic Syndrome Pallister W Syndrome Pancreatic Islet Cell Tumor Panic Anxiety Syndrome Panniculitis, Idiopathic Nodular Papillitis Papillon Lefevre Syndrome Paracoccidioidomycosis Paramyotonia Congenita Paraplegia, Hereditary Spastic Parkinson's Disease Parry Romberg Syndrome Pars Planitis Parsonage Turner Syndrome Patulous Eustachian Tube Peeling Skin Syndrome Pelizaeus Merzbacher Brain Sclerosis Pemphigoid, Benign Mucosal Pemphigus Penta X Syndrome Pentalogy of Cantrell PEPCK Deficiency, Mitochondrial Perisylvian Syndrome, Congenital Bilateral Perniosis Pertussis Peutz Jeghers Syndrome Peyronie Disease Pfeiffer Syndrome Type I Phenylketonuria Pheochromocytoma Phocomelia Syndrome Phosphoglycerate Kinase Deficiency Pica Pick's Disease Pierre Robin Syndrome Pinta Pityriasis Rubra Pilaris Pneumonia, Eosinophilic Pneumonia, Interstitial POEMS Syndrome Poland Syndrome Polyarteritis Nodosa Polychondritis Polycystic Kidney Diseases Polycystic Liver Disease Polycythemia Vera Polyglucosan Body Disease, Adult Polymyalgia Rheumatica Polymyositis Polyposis, Familial Pompe Disease Popliteal Pterygium Syndrome Porphyria Porphyria Cutanea Tarda Porphyria, Acute Intermittent Porphyria, ALA-D Porphyria, Congenital Erythropoietic Porphyria, Hereditary Coproporphyria Porphyria, Variegate Post Polio Syndrome Posterior Uveitis Prader Willi Syndrome Precocious Puberty Primary Lateral Sclerosis Proctitis Progressive Osseous Heteroplasia (POH) Progressive Supranuclear Palsy Prostatitis Proteus Syndrome Prune Belly Syndrome Pseudo Hurler Polydystrophy Pseudocholinesterase Deficiency Pseudohypoparathyroidism Pseudomyxoma Peritonei Pseudotumor Cerebri Pseudoxanthoma Elasticum (PXE) Psittacosis Psoriasis Pterygium Syndrome, Multiple Pulmonary Alveolar Proteinosis Pulmonary Hypertension, Primary Pulmonary Hypertension, Secondary Pure Red Cell Aplasia, Acquired Purpura, Henoch Schonlein Purpura, Idiopathic Thrombocytopenic Purpura, Thrombotic Thrombocytopenic Pyknodysostosis Pyoderma Gangrenosum Pyruvate Carboxylase Deficiency Pyruvate Dehydrogenase Deficiency Pyruvate Kinase Deficiency Q Fever Rabies Radiation Syndromes Rapp Hodgkin Syndrome Raynaud's Disease and Phenomenon Recurrent Respiratory Papillomatosis Reflex Sympathetic Dystrophy Syndrome (RSDS) Refsum Syndrome Reifenstein Syndrome Reiter's Syndrome Renal Agenesis, Bilateral Renal Glycosuria Respiratory Distress Syndrome, Adult Respiratory Distress Syndrome, Infant Restless Legs Syndrome Retinitis Pigmentosa Retinoblastoma Retinopathy, Arteriosclerotic Retinopathy, Diabetic Retinopathy, Hypertensive Retinoschisis Retrolental Fibroplasia Retroperitoneal Fibrosis Rett Syndrome Reye Syndrome Rh Disease Rheumatic Fever Rickets, Hypophosphatemic Rickets, Vitamin D Deficiency Rieger Syndrome Roberts Syndrome Robinow Syndrome Rocky Mountain Spotted Fever Romano Ward Syndrome Rosenberg Chutorian Syndrome Roseola Infantum Rothmund Thomson Syndrome Roussy Levy Syndrome Rubella Rubella, Congenital Rubinstein Taybi Syndrome Russell Silver Syndrome (RSS) Ruvalcaba Syndrome Saethre Chotzen Syndrome Sakati Syndrome Sandhoff Disease Sanfilippo Syndrome Santavuori Disease Sarcoidosis Sarcoma, Ewing's Schindler Disease Schinzel Giedion Syndrome Schinzel Syndrome Schmid Type Metaphyseal Chondrodysplasia Schmidt Syndrome Schwartz Jampel Syndrome Scleroderma Scott Craniodigital Syndrome With Mental Retardation Seckel Syndrome Seitelberger Disease (Infantile Neuroaxonal Dystrophy) Sennetsu Fever Septo Optic Dysplasia Setleis Syndrome Severe Combined Immunodeficiency Sheehan Syndrome Short Chain Acyl CoA Dehydrogenase Deficiency (SCAD) SHORT Syndrome Shwachman Syndrome Shy Drager Syndrome Sialadenitis Sialidosis Sickle Cell Disease Simian B Virus Infection Simpson Dysmorphia Syndrome Singleton Merten Syndrome Sirenomelia Sequence Sjogren Syndrome Sly Syndrome Smith Lemli Opitz Syndrome Smith Magenis Syndrome Sneddon Syndrome Sotos Syndrome Spasmodic Torticollis Spina Bifida Split Hand Deformity Spondyloepiphyseal Dysplasia Tarda Spondyloepiphyseal Dysplasia, Congenital Sprengel Deformity Stein Levanthal Syndrome Stenosis, Spinal Stevens Johnson Syndrome Stickler Syndrome Stiff Person Syndrome Streptococcus, Group B Sturge Weber Syndrome Subacute Sclerosing Panencephalitis Sucrose Isomaltose Malabsorption, Congenital Sudden Infant Death Syndrome Summitt Syndrome Sutton's Disease II Sweet Syndrome Syphilis, Acquired Syphilis, Congenital Syringobulbia Syringomyelia Tangier Disease Tardive Dyskinesia Tarsal Tunnel Syndrome Tarui Disease Tay Sachs Disease Telecanthus with Associated Abnormalities Temporomandibular Joint Dysfunction (TMJ) Tethered Spinal Cord Syndrome Tetrahydrobiopterin Deficiency Tetralogy of Fallot Thalamic Syndrome (Dejerine Roussy) Thalassemia Major Thalassemia Minor Three M Syndrome Thrombasthenia of Glanzmann and Naegeli Thrombocythemia, Essential Thrombocytopenia Absent Radius Syndrome Thrombocytopenia, Essential Tietze Syndrome Tinnitus Tolosa Hunt Syndrome Tongue, Fissured Tongue, Geographic Tongue, Hairy Tooth and Nail Syndrome TORCH Syndrome Tourette Syndrome Townes Brocks Syndrome Toxic Shock Syndrome Toxocariasis Toxoplasmosis Treacher Collins Syndrome Tricho Dento Osseous Syndrome Trichorhinophalangeal Syndrome Type I Trichorhinophalangeal Syndrome Type II Trichorhinophalangeal Syndrome Type III Trichotillomania Trigeminal Neuralgia (Tic Douloureux) Trimethylaminuria Triplo X Syndrome Triploid Syndrome Trismus Pseudocamptodactyly Syndrome Trisomy Trisomy 13 Syndrome Trisomy 18 Syndrome Tropical Sprue Truncus Arteriosus, Persistent Tuberculosis Tuberous Sclerosis Turner Syndrome Twin Twin Transfusion Syndrome Typhoid Tyrosinemia, Hereditary Urticaria Pigmentosa Urticaria, Cholinergic Urticaria, Cold Urticaria, Papular Urticaria, Physical Usher's Syndrome VACTERL Association Valinemia Varicella Zoster Vascular Malformations of the Brain Vasculitis Vasculitis, Cutaneous Necrotizing Velocardiofacial Syndrome Vitamin B12 Deficiency Vitamin E Deficiency Vitiligo Vogt Koyanagi Harada Syndrome Von Gierke Disease Von Hippel Lindau Disease Von Willebrand Disease Vulvovaginitis Waardenburg Syndrome WAGR Syndrome Waldenstrom's Macroglobulinemia Waldmann Disease Walker Warburg Syndrome Wandering Spleen Weaver Syndrome Wegener's Granulomatosis Weil Syndrome Weill Marchesani Syndrome Weismann Netter Stuhl Syndrome Wells Syndrome Werdnig Hoffman Disease Werner Syndrome West Syndrome Whipple's Disease Wieacker Syndrome Wiedemann Rautenstrauch Syndrome Wildervanck Syndrome Williams Syndrome Wilms' Tumor Wilson's Disease Winchester Syndrome Wiskott Aldrich Syndrome Wolf Hirschhorn Syndrome Wolff Parkinson White Syndrome Wolfram Syndrome Wyburn Mason Syndrome X linked Juvenile Retinoschisis X linked Lymphoproliferative Syndrome Xeroderma Pigmentosum XYY Syndrome Yaws Yellow Fever Yellow Nail Syndrome Yunis Varon Syndrome Zellweger Syndrome Zollinger Ellison Syndrome other unknown

Have you had an EKG recently? Year unknown 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 never