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general:health_screening_hearing_exam

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Pass/Fail

Select the overall result of the hearing test.

For a religious exemption, select Exempt.

Status

Select the status of the follow-up exam if applicable.

For a religious exemption, select Not Examined.

Referral Date
Follow-up Date
general/health_screening_hearing_exam.1493566676.txt.gz · Last modified: 2017/04/30 10:37 (external edit)