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Elizabeth W. Pinkerton, M.D., P.C. 27 Rock Quarry Road P.O. Box 486 Toccoa, GA 30577 Patient Name: Date: Birthdate: Past History: Does your child have, or has he/she ever had: YES Chickenpox Frequent
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Individuals or organizations who need to document their history or past activities may be required to file history formdocx.
History formdocx can be filled out by providing detailed information about events, dates, and any other relevant information in the designated fields.
The purpose of history formdocx is to maintain a record of past events or activities for reference or documentation purposes.
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