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Legal Guardian s Signature Print Name Date PAGE 4 MEDICAL HISTORY AND PHYSICIAN S AUTHORIZATION MEDICAL HISTORY or attach your own form IMMUNIZATION DATES OR Date of last medical check-up should be Measles after June 30 2015 Mumps Reasons for any hospitalizations in the past 5 years Rubella MMR Last Tetanus DPT TT or TD Polio Series Other PHYSICIAN S SECTION please print Dear Physician The typical choice of MathPath physical activities are on campus basketball frisbee pickleball...
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Mathpath Health Diet is a program designed to provide personalized nutrition plans and support for individuals to achieve their health goals.
Anyone who wants to participate in the Mathpath Health Diet program is required to file.
To fill out Mathpath Health Diet, individuals need to provide information about their current health status, dietary preferences, and personal goals.
The purpose of Mathpath Health Diet is to help individuals improve their health and well-being through personalized nutrition plans and support.
Information such as current health status, dietary preferences, and personal goals must be reported on Mathpath Health Diet.
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