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Get Efmp Screening Questionnaire 2009-2024

Ity to discuss all "YES" answers with a screener.) a. Problems with sight (other than corrected by glasses) b. c. YES NO g. Asthma, allergies or other respiratory problems Problems with hearing h. i. Delayed Speech d. Seizure disorder j. Sickle Cell Trait/Disease e. Loss of mobility (requiring use of a wheelchair/ walker or aid in mobility) k. Cancer l. High blood pressure Diabetes m. NO Cerebral Palsy Heart condition YES Other, if yes, explain f. MENTAL HEALTH: 6. In.

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