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               Constitutional 
  
  
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               Constitutional comments: 
  
  
  
  
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               Head 
  
  
  • • •
  
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               Head comments:  
  
  
  
  
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               Ears 
  
  
  • • •
  
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               Ears comments: 
  
  
  
  
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               Eyes 
  
  
  • • •
  
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               Eyes comments:  
  
  
  
  
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               Nose 
  
  
  • • •
  
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               Nose comments:  
  
  
  
  
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               Throat 
  
  
  • • •
  
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               Throat comments:  
  
  
  
  
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               Mouth 
  
  
  • • •
  
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               Mouth comments:  
  
  
  
  
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               Neck 
  
  
  • • •
  
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               Neck comments:  
  
  
  
  
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               Cardiovascular 
  
  
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               Cardiovascular comments:  
  
  
  
  
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               Pulmonary 
  
  
  • • •
  
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               Pulmonary comments:  
  
  
  
  
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               Abdominal 
  
  
  • • •
  
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               Abdominal comments:  
  
  
  
  
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               Genitourinary/Anorectal 
  
  
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               Genitourinary/Anorectal comments:  
  
  
  
  
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               Musculoskeletal  
  
  
  • • •
  
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               Musculoskeletal comments:  
  
  
  
  
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               Skin 
  
  
  • • •
  
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               Skin comments:  
  
  
  
  
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               Neurological 
  
  
  • • •
  
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               Neurological comments:  
  
  
  
  
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               Psychiatric/Behavioral 
  
  
  • • •
  
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               Psychiatric/Behavioral comments:  
  
  
  
  
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