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Date: 2013-12-19 14:44:53Assistance dogs Disability Activities of daily living Medical diagnosis Guide dog | SEIZURE RESPONSE DOG GUIDE MEDICAL REPORT FORM To be completed by Physician GENERAL INFORMATION Please PRINT/TYPE and complete ALL parts of this form. We are unable to process applications that are not complete and/or aAdd to Reading ListSource URL: dogguides.comDownload Document from Source WebsiteFile Size: 135,97 KBShare Document on Facebook |