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Family Genetic History Form Insert Name: Date: Your Instructor’s Name: Introduction In the recent years, genetic related diseases have hit many families making them encounter high medical bills day in day out. This is a survey that was conducted to evaluate how genes are carried along in the family.
Paternal grandmother First and last initials: MM Birthdate: 1941 Death date: N/A Occupation: Business lady Education: Did not want to disclose Primary language: English Health summary: Still under diabetes diagnosis. Visits her personal doctors twice a month to ensure it is under control Father First and last initials: CH Birthdate: 1963 Death date: 1999 Occupation: Clinical officer Education: Graduate Primary language: English Health summary: Diagnosed with chronic lung disease which was suspected to be cancerous and was severe because he was diabetic. Died from heart failure. Father’s siblings (write a brief summary of any significant health issues) All through his life, he was a chain smoker, this sprouted out the diabetes (he had it genetically but suppressed), complications rose which were companied by chronic lung ailments. He later died after being bedridden for two months. Maternal grandfather First and last initials: WE Birthdate: 1945 Death date: 1995 Occupation: Contractor Education: Diploma in Civil Engineering Primary language: French Health summary: Had not been diagnosed lately before his death. Died in a gun shot be gangsters. ...
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