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Patient Name: DOB: University of Wisconsin Hospital and Clinics MR# 600 Highland Avenue l Madison, Wisconsin 53792 REHABILITATION CLINIC ACTIVITIES SPECIFIC BALANCE CONFIDENCE (ABC) SCALE Date: Instructions

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The University of Wisconsin Hospital is a teaching hospital located in Madison, Wisconsin.

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The purpose of the University of Wisconsin Hospital is to provide high-quality medical care, conduct medical research, and educate future healthcare professionals.

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