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Page 1: Florida Sports Injury and Orthopedic Institute - Clermont, FL€¦ · FLORIDA SPORTS INJURY ORTHOPEDIC INSTITUTE REVIEW OF SYSTEMS: PATIENT NAME: PATIENT DOB: pAGE 5 Details/Comments

Page 2: Florida Sports Injury and Orthopedic Institute - Clermont, FL€¦ · FLORIDA SPORTS INJURY ORTHOPEDIC INSTITUTE REVIEW OF SYSTEMS: PATIENT NAME: PATIENT DOB: pAGE 5 Details/Comments

Page 3: Florida Sports Injury and Orthopedic Institute - Clermont, FL€¦ · FLORIDA SPORTS INJURY ORTHOPEDIC INSTITUTE REVIEW OF SYSTEMS: PATIENT NAME: PATIENT DOB: pAGE 5 Details/Comments

Page 4: Florida Sports Injury and Orthopedic Institute - Clermont, FL€¦ · FLORIDA SPORTS INJURY ORTHOPEDIC INSTITUTE REVIEW OF SYSTEMS: PATIENT NAME: PATIENT DOB: pAGE 5 Details/Comments

Page 5: Florida Sports Injury and Orthopedic Institute - Clermont, FL€¦ · FLORIDA SPORTS INJURY ORTHOPEDIC INSTITUTE REVIEW OF SYSTEMS: PATIENT NAME: PATIENT DOB: pAGE 5 Details/Comments

Page 6: Florida Sports Injury and Orthopedic Institute - Clermont, FL€¦ · FLORIDA SPORTS INJURY ORTHOPEDIC INSTITUTE REVIEW OF SYSTEMS: PATIENT NAME: PATIENT DOB: pAGE 5 Details/Comments

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