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Title:	Child_Health_Assessment
Summary:	Word version
Description:
Keywords:	Child Health Assessment Form
Handle:	Document-4679
Owner:	Site Administrator (User-2, admin:DocuShare)^DS
Create Date:	Wednesday, June 9, 2010 09:39:09 AM CDT
Modified Date:	Wednesday, June 9, 2010 09:39:09 AM CDT
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Abstract:	Have any chronic illness or handicaps such as: Yes No Yes No Yes No Headaches ___ ___ Convulsions ___ ___ Earaches ___ ___ Colds/sore throat ___ ___ Rheumatic Fever ___ ___ Dental ___ ___ Heart/Lung Disease ___ ___ Allergies/Asthma ___ ___ Urinary/Bowel ___ ___ Back/Spine ___ ___ Diabetes ___ ___ Other ___ ___ PHYSICAL EXAMINATION: To be completed by physician or nurse approved to do health assessments Height:___________ Weight:___________ Head____________________ Lungs:_____________________ CNS:...
Add Versions:	Allowed
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Content Type:	Microsoft Office Word (.doc, .dot) - application/msword
File name:	Forms_Child_Health_Assessment.doc
Is Placeholder:	No
Max Versions:	4
Size:	28160
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Ready for Declare:	No
Appears In:	Health Services
Preferred Version:	Child_Health_Assessment