div class=ts-pagebuttonPage 1button div class=ts-image amp-img class=ts-thumb alt=Page 1: · 7 Do you use cocaine or other drugs Cl 8 Are you allergic or had an adverse reaction to any drugs or medications 2 9 Are you in good health at this time C 10 Are you src=https:reader033vdocumentsnetreader033viewer20220423125eda787ab3745412b57165a7html5thumbnails1jpg width=142 height=106 layout=responsive amp-img divdiv