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DOCTOR: SIX YEAR OLD VISIT
DATE:
WEIGHT: lbs. Blood Lead risk assessment
HEIGHT: Ins. Tuberculosis risk assessment
Visual Acuity
INFORMATION FOR THE DOCTOR:
QUESTIONS/PROBLEMS:
NOTES:
Safety Tips: Please read the following sections In this booklet.
Section Vlll-K. Water Safety
Section Vlll-I. Fire Safety
Your next appointment for a physical is when your child is 7 years old and then
annually after that.
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