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Your Health

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  1. Do you (or a loved one) have any of the following conditions?*
  2. Do you have medicare?*

Tell Us More About You

  1. Have you or a loved one been injured in a car accident within the last 3 years?*
  2. Have you had an Inferior Vena Cava (IVC) Filter implanted?*
  3. Are you 40 years old or older?*

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