Example: bachelor of science

G S ISII

Cognitive impairment Delayed fine motor development ... Parkinsonism Peripheral neuropathy Reduced tendon reflexes Seizures Sensory neuropathy ... Vascular System Arteriovenous malformation Stroke Other: Signature of Provider (required) Date.

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  Impairment, Cognitive, Vascular, Parkinsonism, Cognitive impairment

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