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Baseline Assessment 1 INCEPTION DATA Patient Name : .............................................................. Date : .................................... ID #___________________________ DOB: ________________
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Document Date: 2012-02-03 16:20:39
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File Size: 36,48 KB
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MedicalCondition
back pain /
pain /
neck pain /
/
MedicalTreatment
Acupuncture /
Physical Therapy /
chiropractic /
Massage /
/
Position
No Worker /
not-seeking employment Retired Homemaker /
/
SocialTag
Dancing on Ice
Figure skating at the 1994 Goodwill Games
Greek legislative election