Not seeing your medication?

4. Do you have allergies?*
YES (Specify Allergies)       NO

5. Do you have any active medical conditions or comorbidities? *
YES (state existing conditions or comorbidities)       NO

6. Do you have any past medical and psychiatric conditions including any surgery or other procedures?*
YES (state past medical and psychiatric conditions)       NO

7. Are you taking any other medications? If yes, please list all prescription and over-the-counter medications that you are currently taking and the length of time for each.*
YES (specify other medications and length of time)       NO

8. Do you smoke or consume alcohol in excessive amounts? (Yes or No)*
YES       NO