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Get Annual Physical Form

G (RN) EMT Paramedic Radiologic Technology Practical Nursing (PN) AEMT MRI/CT Surgical Technology Allergies (Food/Drug/Latex, etc) Height Weight BP / Vision Right 20/ Left 20/ Corrected: Y LIMITED COMPLETE NORMAL N Pulse Color Blind: Y N ABNORMAL FINDINGS Cardiovascular Pulses Heart Lungs Skin E.N.T. Gastrointestinal Musculoskeletal Neurological Other 1. Has student been diagnosed with any chronic/seriou.

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