Get PEDIATRIC LIFESTYLE ASSESSMENT FORM
C for current and P for past symptoms) Abdominal pain Acid reflux Anemia Bad breath Bed wetting Bleeding gums Blood in urine Body odour Bruises easily Canker sores Changes in appetite Congestion Constipation Cough Cries easily Diarrhea Dizzy spells Dry Skin Eczema Excessive fatigue Excessive perspiration Flat feet Frequent headaches Gas Hearing loss Heart murmur.
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- Open the form in the full-fledged online editing tool by hitting Get form.
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- Put the date.
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