New patient questionaire ? utmb family health clinic name age date of birth height date weight . . allergies to medicine or other: reason for visit: . past medical history: if you every had any problems in the following areas please box. arthritis...
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Vital signs monitor 300 series (vsm) competency checklist name: unit: date: true or false. the vital signs monitor is intended to be used on adult, peds, and neonatal patients. locate the battery charger and check to see if the battery is being...
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Blood pressure log name current blood pressure medications dob height weight doctor date time blood pressure heart rate comments / / / / / / / / / / / / / / / / / / / / / / compliments of: 266 s.harvard blvd. ste.120 los angeles, ca 94
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