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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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History formdocx is a document used to record past events or information.
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Individuals or organizations who need to document their history or past activities may be required to file history formdocx.
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History formdocx can be filled out by providing detailed information about events, dates, and any other relevant information in the designated fields.
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The purpose of history formdocx is to maintain a record of past events or activities for reference or documentation purposes.
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