emotional / 21. Nutrition / 22. Other B. HEALTH HISTORY (Serious Illnesses Injuries: explain) (attach narrative if additional C. LABORATORY Hemogbin/liemac Lead T r PEDIATIM CENTER, P.A. (Please Print) Stool (O a P) Sickle Cell Tuberculin test: re OH 3040, 10/96 (Riotous HRS.), Form 3040 whi