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Prospective Internship Site Profile
Department of Health Education & Behavior Gainesville
FL
Location: ___
City11/02/2023
Date: ___StateKinetix Physical Therapy
Agency: ___Scott Eddies, PT. DPT, CCC
Contact:
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Fill out personal information including name, date of birth, address, and contact information.
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Provide detailed medical history including current medications, previous treatments, and any relevant conditions.
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