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Route please circle preferred formulation Antiseptic Ointment topical Anti-itch Ointment Anti-Sting Ointment Anitbiotic Ointment Suntan Lotion/burn Relief Ointment Ibuprofen Oral tablet or liquid Acetaminophen Anti-fungal Cream Antacid/Antiemtic Pepto Bismol Eye Drops Hydrocortisone 0. Which of the following Measles Chicken pox German measles Mumps Hepatitis A TB Mantoux Test Date of last test Result PositiveNegative Please give all dates of immunizations for Vaccine DTP TD tetanus/diptheria...
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