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Students NameAgeGradeSECTION 6: HEALTH HISTORY Explain Yes answers at the bottom of this form. Circle questions you don't know the answers to. Yes No High blood pressure Heart murmur High cholesterol
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wwwdvsdorgcmslibhealth history and physical is a form used to document an individual's medical history and physical examination.
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Information such as medical conditions, medications, allergies, surgeries, family history, and current physical exam findings must be reported on wwwdvsdorgcmslibhealth history and physical.
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