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Height: Feet Weight: pounds - HFHS Digital …

Height: Feet Weight: pounds - HFHS Digital …

hfhs-formslibrary.org

Physician Signature: Date: Time: Printed Physician: Transcriber’s Signature: Date: Time: Noting Nurses Signature: Date: Time: HENRY FORD MACOMB HOSPITALS

  Pound, Weight, Height, Feet, Feet weight

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