%PDF-1.5
%
2 0 obj
<<
/Lang (x-default)
/Type /Catalog
/Pages 4 0 R
/Metadata 5 0 R
>>
endobj
5 0 obj
<<
/Type /Metadata
/Length 2963
/Subtype /XML
>>
stream
2019-11-18T11:07:24-05:00
2019-11-19T20:42:38-05:00
PaperPort 12
PaperPort 12
application/pdf
New Patient History Form
endstream
endobj
12 0 obj
<<
/Filter [/FlateDecode]
/Length 2084
>>
stream
xXioHnfjXڒ 20dK1H^oU[Ii$1"%uzutYޘ+ip{cO1Jۛ0 7Y7'/qɾ,7/σ?SFl2h@>'Р!pB2M7/xAfÇhɘNFe2K|^=tv/"ύcHOئvjX2A3|wm4:=F
#kؔxo,7v>X-BN4-
JKӴd6M#[ǛJh+
dERy/jkŶixϪ5(Liʲ-JPW&U(D˰<4ql4ۚ[>3
aS'
i Qo.;9GB)$k"mXRQxt
\ZC)kԵFv˧CZWMom(p4iPImbsp\|ӤiXe$s4ǕV:ptx.6+!?m8g
i$m\q!Nx*K6{V|'k!ZԭT䃑jod >֭@qΖ^H%D,