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Adolescent/Teen Review of Systems Date:Birthdate: (mm/dd/YYY)(mm/dd/YYY)1750 12th Street Hood River, OR 97031Patient Name: (last name, first name, middle initial)Check ANY symptoms you've experienced
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Columbia Gorge Family MedicineHealth is a medical practice that provides healthcare services to families in the Columbia Gorge region.
Patients who receive services from Columbia Gorge Family MedicineHealth are required to file their medical history and information.
Patients can fill out Columbia Gorge Family MedicineHealth forms either electronically or by hand, providing accurate information about their medical history and current health status.
The purpose of Columbia Gorge Family MedicineHealth forms is to ensure that healthcare providers have access to accurate and up-to-date information about their patients' health in order to provide quality care.
Patients must report their personal information, medical history, current medications, allergies, and any existing health conditions on Columbia Gorge Family MedicineHealth forms.
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