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Stroke Risk Factors
Sacred Heart Regional Stroke Center invites you to complete the Stroke Risk Assessment provided below. You do not need to return this assessment to us; simply fill it out and share it with your physician upon your next visit.
Self Family Medical History
(Check all that apply to you or to any blood relative, such as parent, sibling, etc.)
If you have more than three of the above risk factors, print this page and s
The more risk factors you have, the higher your chances of having a stroke. The best way to prevent a stroke is to reduce your risk factors. Your physician can help you change factors that are related to your lifestyle and your environment.
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