PHYSICAL EXAMINATION AND PARENT PERMIT
(Physician judgment based on history, exam, and knowledge of other recent physical and laboratory evaluations) ^WITH SPE C IAL NDI T O (T he s et udie m ay b rc omm nhle use of is ory or physi l f ig nd m or m t q d b efore m ak ing pr t con d ision.) I have reviewed the data above, reviewed his/her medical history form and make the following ................
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