Wednesday, January 12, 2005
Application for Medical Insurance
6. Health Information
D) Do you, or any family member listed in Section 5, take any medicine(s), drugs, pills or herbs, or require shots? X Yes _ No
If you checked any itesm in Question C or answered "yes" to Question D, please complete the following (use additional application form, if necessary):
| Name of Person | Condition | Dates Diagnosed and Treated |
Type of Treatment/ Names of Medications |
Current or Further Treatment? |
| Brian J. | Basil | |||
| Brian J. | Sage |
Well, they asked what herbs I was on.
- posted by Brian J. @ 1:19 PM
To say Noggle, one first must be able to say the "Nah."
"I will."
Heather L. Igert,
angelweave.mu.nu
"Genuis."
Neil Steinberg,
Chicago Sun-Times
"Some wanker."
Kim du Toit,
on the Noggle Library.
"Brian J. Noggle apparently forgot that the proper design for a tin foil beanie calls for the shiny side out."
Robb Allen,
Sharp as a Marble.
"I'm weeping openly right now. Thanks for hurting my feelings, pinhead."
Bob Rybarcyzk,
St. Louis Post-Dispatch
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