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F
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I
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N
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OTHER
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Directory Results for PERIODIC HEALTH ASSESSMENT to PERIODIC HEALTH ASSESSMENT (PHA) DATE: SCREENING: Height: (inches) Weight (pounds) BMI: Temperature: deferred Pulse: Respirations: deferred Blood Pressure: MEDICAL EQUIPMENT: S: SUBJECTIVE year old ( ) male ( ) female reports for an annual PHA which

PERIODIC HEALTH ASSESSMENT
Periodic Health Assessment (PHA) Check-off Sheet (RC)
PERIODIC HEALTH ASSESSMENT (PHA) DATE: SCREENING: Height: (inches) Weight (pounds) BMI: Temperature: deferred Pulse: Respirations: deferred Blood Pressure: MEDICAL EQUIPMENT: S: SUBJECTIVE year old ( ) male ( ) female reports for an annual PHA which