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OSTEOPATHIC MUSCULOSKELETAL EXAMINATION Patients Name: Subjective: Vitals: T B/P H R Pulse ox Date/Time: Initial Visit F/u Pain level / 10IHT: Meds:Required Ant./Post. Spinal Curves: Cervical Lordosis

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VA Templates Ver 12 is a specific version of form templates used for reporting certain information required by the Virginia state authorities.

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