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Get Physical Therapy Flow Sheet 2011-2024

Cal History: Cancer? Diabetes? High Blood Pressure? Heart Disease? Osteoporosis? Osteoarthritis? Rheumatoid arthritis? Neurologic dz (MS, Parkinsons)? Ulcers / GERD / Acid Reflux? Kidney / Liver Disease? Prior Surgeries: MOS/Occupation: Duty Station/Unit: When did symptoms start (date): Symptoms related to deployment? â–¡Yes-Combat â–¡Yes-NonCombat â–¡No Have you had these symptoms before? â–¡Yes â–¡No How did symptoms start? Symptoms are? â–¡Constant â–¡Come/Go â–¡Only with Activity Sympt.

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