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DOVETAIL Family Practice Susan Horseman, M.D. 313 S. Monroe St. Monroe, MI 48161 (734) 2445380 PEDIATRIC HISTORY Parent: This is a health questionnaire on your child. Please complete this form. DATE:

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8. Review the completed form to ensure all sections are filled out correctly. Double-check for any missing information or mistakes.
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Dovetail Family Practice Susan is a medical practice specializing in family medicine.

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