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Tania Colin, M.D. Pediatric Ophthalmology and Strabismus Today's Date: PATIENT INFORMATION: Name: Eye Color Sex Address Birthdate / / Age City, State, Zip PATIENTS INSURANCE Home #() Social Security
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Talia Kolin MD Pediatric is a medical form for pediatric patients filled out by Dr. Talia Kolin.
Patients with children who are being treated by Dr. Talia Kolin are required to fill out the form.
The form can be filled out by providing accurate information about the pediatric patient's health and medical history.
The purpose of the form is to gather important medical information about pediatric patients under the care of Dr. Talia Kolin.
The form must include details about the pediatric patient's medical history, current medications, allergies, and previous treatments.
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