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Mussiokjg;jliasjg;pawkr;fmust Be Duchesne 2014

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OF BIRTH HEIGHT WEIGHT OF BODY FAT PULSE BLOOD PRESSURE VISION R 20/ L 20/ / CORRECTED Y N Pupils EQUAL UNEQUAL In keeping with the requirements of the Texas Association of Private and Parochial School as a minimum requirement this PHYSICAL EXAMINATION FORM must be completed prior to high school athletic participation each year of high school. MEDICAL NORMAL ABNORMAL FINDINGS INITIALS Appearance Eyes/Ears/Nose/Throat Lymph Nodes Heart-Auscultation of the heart in the supine position the...

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