Sample Recommended NYSED Interval Health History for ...
If so, check all that apply:☐Heart infection☐Heart Murmur☐High Blood Pressure ☐Low Blood Pressure☐High Cholesterol☐Kawasaki Disease☐Other:Injury HistoryNoYes38.Ever been diagnosed with a stress fracture?Has/Does your child:Injury History continuedNoYes39.Ever been unable to move his/her arms and legs, or had tingling, numbness, or ... ................
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