Title i, part c: migrant education program identification and recruitment manual indiana department of education office of english learning and migrant education 115 west washington st. indianapolis, in 46204 317-232-0 contents i. background of...
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Well adolescent 13 14 15 16 years visit date: / / language spoken: bp: t: reason for visit: allergies: name: female dob: / / age: grade: interpreter used name: english other: p: male r: height: weight: bmi%: growth charts completed signature/...
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Well child 12 months name: visit date: / / language: p: dob: / / rr: age: months h.c. height: in. weight: lb. growth charts completed well visit reason for visit: allergies: signature/ title: interval history: diet: male interpreter used name:...
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Well child 4 5 years name: visit date: / / language: bp: dob: / / p: reason for visit: male age: interpreter used name: english other: t: female rr: height: in. weight: lb. bmi %: growth charts completed well visit allergies: signature/ title:...
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Well child 9 10 11 12 years visit date: / / language spoken: female dob: / / p: male age: grade: interpreter used name: english other: bp: t: reason for visit: allergies: name: r: height: weight: bmi%: growth charts completed signature/ title:...
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