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Chief Complaint/Injury NAME: DATE 1. CHIEF COMPLAINT 2. PROBLEM FIRST BEGIN DOCTORS USE ONLY 1 ACUTE INJURY 1 SUDDEN ONSET 1 PROGRESSIVE W/O OBVIOUS CAUSE N0. EPISODES X 3. MECHANISM OF INJURY 5.
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Consult formpub is a regulatory form used to provide information and consultations regarding public matters to relevant authorities.
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