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General practice / Urgent care / Medicine / Health / Emergency medicine


Microsoft Word - GALEP Registration Form
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Document Date: 2012-11-13 09:40:48

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File Size: 178,42 KB

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Company

BP / /

IndustryTerm

transportation / food / /

MedicalCondition

loss of consciousness / Allergies / Chest pain / student injury / Seizures / fainting / elbow pain / shortness of breath / physical injury / last known tetanus / potential injury / personal injury / lockjaw / suspected injury / bad headaches / Ankle pain / injury / Eyes/Ears/Nose/Throat Skin Heart Abdomen Genital/hernia / recurrent illness / Dizziness / muscle cramps / injury/suspected injury / Illness / back pain / joint pain / Birth defects / Knee pain / Syndrome / Injuries / Down Syndrome / /

MedicalTreatment

surgery / /

MusicGroup

Yes / /

Organization

Galt Joint Union Elementary School District / Galt Elementary School District / Birth /

Person

Karen Schauer / Donna Whitlock / /

/

Position

personal physician / THE EXAMINING PHYSICIAN/PHYSICIAN / nurse / physician / ASSISTANT /NURSE / PARENT OR GUARDIAN ADDRESS WORK PHONE REGULAR PHYSICIAN / supervised physician / assistant / /

Technology

X-Ray / /

SocialTag