ses et Intake: Yes No TY00: Age: Condit:bon: NM -L • ..., ,1„1„/ rkte 65)0c) 0 125e/V -e-I g • 5 i 1-4-1.—)e r C--% 4e-01 Or Can.Q.JA 5 Pia Se-flit d Intro-mat Photos Taken Yes 0 Radiographs Taken: (Document findings on A8O encpurder) Yes s Instructed how to obtain urgent and non-urgent de