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Get the free PDF Health Care Practitioner Physical Assessment Form - Maryland.gov

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The Angle Center for Counseling & Health ServicesSTUDENT PHYSICAL FOR MTO BE COMPLETED BY M.D., D.O., P.A., C.R.N.P. within 6 months prior to sports participation and×or 1 year prior to entrance
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PDF health care practitioner is a form used to report information about health care providers.
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The purpose of PDF health care practitioner is to provide accurate information about health care providers for regulatory and record-keeping purposes.
Information such as the practitioner's name, license number, specialties, and contact information must be reported on PDF health care practitioner.
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