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PEDIATRIC HISTORY FORM PATIENT DEMOGRAPHICS Child's Name___ Today\'s Date ___/___/___ HR#:___ Date of Birth ___/___/___ Birth Height: ___ Birth Weight: ___ Current Height: ___ Current Weight: ___
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The wwwpdffillercom76548027--pediatric-history pediatric history form is a document used to record the medical history of a pediatric patient.
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