Well Child Exam - Adolescence: 15-18 Year - Michigan
Michigan Department of Health and Human Services Well Exam Date Patient Name DOB Sex Parent/Guardian Name ... Eyes Ears Nose Oropharynx Gums/palate Neck Lungs Heart/pulses Abdomen Genitalia Spine Extremities/hips Neurological Normal Growth and Development Tanner Stage Abnormal Findings and Comments If yes, see additional note area on next page ... ................
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