Document Mentions (4 shared documents)

EFTA01709788

2 mentions1 same-page

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essure (I) Normal=N; Abnormal=A N A COMMENT: Abnormal Findings, by number 1. Appearance 2. Skin/Nose 3. Head/Scalp 4. Eyes 5. Visual Acuity (R & L) R Aro& °row 6. Ears 7. Auditory Acuity (11 Et L) 8. Nose / Throat 1 9. Mouth. Teeth and Gums 10. Chest / Lungs 11. Heart 12. Abdomen V 1

Retain Mr Indicate: Promote (P) Retain (R) - Indicate: Promote (P) Retain (A) 01-93d0 EFTA01709793 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 232.032, s. 64D-3.011, F.A.0 and s. 65C-22.006, F.A.C. LAST NAME J PARENT OR GUARDIAN D i r e t t i o n C • Enter all appropri

EFTA01709855

2 mentions1 same-page

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ure ././r / 4 Normal-N; Abnormal-A N A COMMENT: Abnormal Findings, by number 1. Appearance 2. Skin/NoSe 3. Head/Scab 4 Eyes 5 Visual Acuity (R & L) 6. Ears 7. Auditory Acuity (R & L) a. Nose / Throat 9. Mouth. Teeth and Gums 10. Chest / Lungs 11. Heart 12. Abdomen 13.teirr-aal-Anirem- 14

••• --._.. .P.tyar•.b= fietv: EFTA01709855 EFTA01709856 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.032, 402305, 402.313, Florida Statutes; s 64D-3.011, 65C-22.006, 65C-20.011, Florida Administrative Code Fl T NAME MI CHILD'S SS#

EFTA01709975

2 mentions1 same-page

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e (✓) Normal=N; Abnormal=A N A COMMENT: Abnormal Findings, by number 1. Appearance 2. Skin/Nose 3. Head/Scalp 4. Eyes • . 5. Mural Acuity (R & L) . 6. Ears Ii. 7. Ati0ttory Acuity1R & L) — 8. Nose / Throat 9. Mouth, Teeth and Gums 10. Chest / Lungs 1 i. Heart - 12. Abdomen 13. Geni

be between 1750 and 1856. NT-Not Tested NR-Not Reported Data Run Date: 11/22/2004 0115263 EFTA01710024 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 232.032,8.64D-3.011, F.A.0 ands. 65C-22.00C F.A.C. FIRST Child'sSW (optional) MIAR IM DO MO/DA/YR STATEIMMUNIZATION ID#' Dire