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HEALTH ASSESSMENT Name: What is your height: Ft. Identify any problems found during physical exam:In. Weight: Date of Birth: lbs. Immunizations up to date? Yes No If no, explain:Medication Prescription

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To fill out a passionate form for Amita Health, follow these steps:

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STEP 1: Visit the Amita Health website

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Passionate - Amita Health is a program aimed at celebrating the dedication and commitment of Amita Health employees.

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