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DOCTOR: THREE YEAR OLD VISIT
DATE:
M WEIGHT: lbs. oz. Blood Lead
HEIGHT:
ins. Tuberculosis risk assessment
Urinalysis
Visual Acuity
Audlogram
INFORMATION FOR THE DOCTOR:
ffii QUESTIONS/PROBLEMS:
NOTES:
Helpful Hints:
Limit television to 2 hours per day maximum of child oriented programs of value.
Talk about what is happening in the show with your child to make it a more
social and active event.
Safety Tips: Please read the following sections in this booklet.
Section VIII-0. Pedestrian Safety
Section Vlll-I. Fire Safety
Your next appointment for a physical is when your child is four years old.
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