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PATIENT NAME:Birth Date:PARENTS:Age Today:PARENTS CONCERNS
Please check anybody areas that concern you:List concerns you have? 1.
2.
3.
4.
5. Head
Eyes
Ears
Nose
Mouth
Throatier
Lungs
Intestines
Kidneys
Genitals
Shinbones
Joints
Muscles
Brain
Nerves
Mental
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What is intestines?
Intestines are the part of the digestive system where nutrients are absorbed.
Who is required to file intestines?
Those who are in charge of managing the estate of a deceased person are required to file intestines.
How to fill out intestines?
Intestines must be filled out by providing detailed information about the assets and liabilities of the deceased person's estate.
What is the purpose of intestines?
The purpose of intestines is to ensure that the deceased person's assets are properly distributed to their heirs.
What information must be reported on intestines?
Information such as the deceased person's assets, debts, and beneficiaries must be reported on intestines.
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