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REVIEW OF SYSTEMS
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Turn on if negative - Constitutional
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Turn on if positive - Constitutional
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Constitutional Positive Findings
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If other, please specify
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Turn on if negative - Eye
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Turn on if positive - Eye
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Eye Positive Findings
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If other, please specify
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Turn on if negative - ENMT
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Turn on if positive - ENMT
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ENMT Positive Findings
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If other, please specify
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Turn on if negative - Respiratory
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Turn on if positive - Respiratory
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Respiratory Positive Findings
• • •
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If other, please specify
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Turn on if negative - Cardiovascular
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Turn on if positive - Cardiovascular
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Cardiovascular Positive Findings
• • •
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If other, please specify
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Turn on if negative - Gastrointestinal
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Turn on if positive - Gastrointestinal
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Gastrointestinal Positive Findings
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If other, please specify
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Turn on if negative - Genitourinary
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Turn on if positive - Genitourinary
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Genitourinary Positive Findings
• • •
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If other, please specify
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Turn on if negative - Hema/Lymph
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Turn on if positive - Hema/Lymph
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Hema/Lymph Positive Findings
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If other, please specify
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Turn on if negative - Endocrine
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Turn on if positive - Endocrine
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Endocrine Positive Findings
• • •
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If other, please specify
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Turn on if negative - Musculoskeletal
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Turn on if positive - Musculoskeletal
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Musculoskeletal Positive Findings
• • •
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If other, please specify
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Turn on if negative - Integumentary
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Turn on if positive - Integumentary
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Integumentary Positive Findings
• • •
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If other, please specify
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Turn on if negative - Neurological
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Turn on if positive - Neurological
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Neurological Positive Findings
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If other, please specify
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Turn on if negative - Psychiatric
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Turn on if positive - Psychiatric
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Psychiatric Positive Findings
• • •
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If other, please specify
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OTHER
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