PLEASE LIST THE NAMES OF MEDICATIONS YOU ARE CURRENTLY TAKING EN LISTE POR FAVOR LOS NOMBRES DE LAS MEDICINAS QUE USTED TOMA ACTUALMENTE PRESCRIPTIONS HERBAL REMEDIES REMEDIOS DE HIERBAS PRESCRIPCIONES VITAMINS VITAMINAS OVER THE COUNTER DRUGS MEDICINAS SIN RECETAS HAVE YOU BEEN PREMEDICATED (DUE TO ALLERGIES) SPECIFICALLY IF FOR A CT EXAM? YES NO DO YOU HAVE ALLERGIES TO FOODS, MEDICATIONS? PLEASE LIST: YES NO YES NO LATEX ALLERGY? ARE YOU DIABETIC? YES NO _______________________________________________________________________________________________________________ ¿ALERGIAS A ALIMENTOS, MEDICINAS? ESCRIBALAS POR FAVOR: ¿TIENE DIABETIS? SI NO SI NO ¿ALERGICO AL LATEX? SI NO