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Name:___ Age:___ Height:___ % Body Fat (optional):___ Vision: Pupils:R20/___ EqualL20/___ UnequalNormalDate of Birth:___ Sex:___ Weight:___ Pulse:___BP: ___ / ___ (___ / ___,___ / ___) Corrected:
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Corrected Y refers to a specific tax form or document used to amend or correct prior submissions made to tax authorities.
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