6g. in the mouth or on the skin? No 6g(i). When? Yes 6g(ii). Describe the sores and reasons. 6h. night sweats? No Yes 6h(i). When? 6h(ii). Describe night sweats and reasons. 6i. severe headache? No Yes 6i(i). When? 6i(ii). Describe the severe headache and reasons. No 6j. rapid decline in mental ability? Yes 6j(i). When? 6j(ii). Describe decline in mental ability and reasons. No 6k. seizures? 6k(i). When? Yes 6k(ii). Describe seizures and reasons. No 6l. tremors? 6l(i). When? Yes 6l(ii). Describe tremors and reasons.
6g. in the mouth or on the skin? 6h. night sweats? 6i. severe headache? 6j. rapid decline in mental ability? 6k. seizures? 6l. tremors? No Yes No Yes No Yes No Yes No Yes No Yes 6g(i). When? 6g(ii). Describe the sores and reasons. 6h(i). When? 6h(ii). Describe night sweats and reasons. 6i(i). When? 6i(ii). Describe the severe headache and reasons. 6j(i). When? 6j(ii). Describe decline in mental ability and reasons. 6k(i). When? 6k(ii). Describe seizures and reasons. 6l(i). When? 6l(ii). Describe tremors and reasons.
Uniform%20DRAI%20-%20Donor%20greater%20than%2012%20yrs%20old%209-10-14.docx