Example of a Complete History and Physical Write-up Patient Name: Unit No: Location: Informant: patient, who is reliable, and old CPMC chart. Physical Exam Format 1: Subheadings in ALL CAPS and flush left to the margin. Information about the vaccination type with a date is described in this section. Title: Microsoft Word - New Patient History and Physical Form.doc Author: Vi Created Date: 12/18/2012 10:07:30 PM 2. ... Normal Physical Examination Template Format For Medical Transcriptionists. We have 20 images about History And Physical Template Word including images, pictures, pdf, wword, and more. When children travel without their parents for school trips or events, they need the medical history of every child in case of any medical issue—download free child medical history form in just one click. Family members included in a family tree are : No votes so far! Spend a bit to purchase good quality printer paper from a place like Avery or Staples. If you are looking for History And Physical Template Word you’ve come to the right place. CD Jewel Case and Label Creator for Word. Dental, medical history form is an essential medical document that helps you to prevent any legal or medical issues. The form template covers personal health history, health habits and personal safety, family health history, female- and male-specific history, and other symptoms. Employee or independent contractor checklist Excel Business plan checklist with SWOT analysis Excel Youth sports emergency contact form Excel Student academic self-assessment Word … Title: Family Practice History and Physical Author: Paul M. Henderson, MD Last modified by: user Created Date: 5/8/2003 2:49:00 PM Other titles: Family Practice History and Physical Thread starter Lodoc; Start date Jul 30, 2005; Search Search engine: ... functional status (dressing, ambulation, transfers, etc. Drug and Allergy history: Prescribed drugs and other medications; Compliance; Allergies and reaction; Neonatal history taking. A complete guide about medical history form is shared, which is very useful to understand it easily. Your employers require a medical history form, insurance companies, judiciary, and medical research. Select style& search. Whenever you visit your dentist for any dental treatment, they fill out a form containing all of your current or past medical conditions helpful for future use. Family history: History of 2-3 generations for similar disease or related disease, hypertension or diabetes mellitus. THE HISTORY AND PHYSICAL (H & P) I. Physicians use a physical examination form to note down all of the information provided by patients. Such as png, jpg, animated gifs, pdf, word… Doc; Size: 42 KB. Medical history form helps the doctor to know the patient’s health history. Microsoft Office. Thanks in advance. History of Present Illness: Patient is a 48 year-old well-nourished Hispanic male with a 2-month history … Basically, a Microsoft word template resembles any within acceptable limits word archive, the thing that matters is that it is meant to be reused the same number of time as you require. Many decisions are based on a person’s medical history. 3. Physical Exams usually begin with the documentation of the patient’s medical history, which serves as an aid for the practitioner to determine the correct diagnosis and to devise a plan of treatment. The H/P's need to be done within 30 days prior to … This template is designed to help medical student in generating questions during History taking and to assist Physical examination. PHYSICAL EXAMINATION: GENERAL APPEARANCE: The patient is a [x]-year-old well-developed, well-nourished male/female in no acute distress. On top of that, we will show you multiple examples of actual yearly physical … From our vast collection of medical history forms templates, some of these areas as follows: Nowadays, employers ask for your medical history in case of any medical history. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. History And Physical Template Word : 67 Medical History Forms [Word, Pdf] – Printable Templates With History And Physical Template Word. Hi everyone, I hope all is well. Signature at the end of this document makes it an authentic medical document. Normal Physical Examination Template Format For Medical Transcriptionists. 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HISTORY & PHYSICAL LONG FORM / COMPREHENSIVE (Comprehensive H&P required for all admissions > 24 Hours UCLA Form #316042 Rev. This program can also make DVD labels! They need a great collection of patient medical history form templates to save their patient’s medical history. (7/13) Page 1 of 2 MRN: Patient Name: (Patient Label) Date: Time: Service: Chief Complaint: History of Present Illness: Allergies: Medications: Past Medical History: (N/C = non-contributory) N/C CAD CVA HTN DM Other: Past Surgical History: N/C Family History… Such as png, jpg, animated gifs, pdf, word… PHYSICAL EXAM TEMPLATE FORMAT # 1: PHYSICAL EXAMINATION: GENERAL APPEARANCE: The patient is alert, oriented and has a bandage over his left eye. The sample gives him an idea of the format to be followed while … The awesome Printable H P Template – Fill Online, Printable, Fillable Within History And Physical Template Word digital photography below, is other parts of History And Physical Template Word write-up which is listed within Word Template and published at January 27, 2020. History And Physical Template Word : 67 Medical History Forms [Word, Pdf] – Printable Templates With History And Physical Template Word. Initial release. The form records patient's vital statistics, medications, risk factors, disease prevention and recommendations, health maintenance, and examination notes. Perfect... Commercial 906 KB Download. I would suggest a template using organ systems be offered (and perhaps favored to the one above). It is also very helpful for medical research. Information about your current disease, past disease, medication for it with consultant name. 3 Viewpoints on “History and Physical Examination Format” Greg Mirt says: Jan 30, 2018 at 10:12 am Thank you. Additionally, you can likewise utilize History And Physical Template Words for letterheads, solicitations and in any event, for month to month concern reports. History And Physical Template – Fill Online, Printable within History And Physical Template Word. Additionally, you can likewise utilize History And Physical Template Words for letterheads, solicitations and in any event, for month to month concern reports. Reply ⤦ ISHIMWE David says: Nov 17, 2019 at 7:49 am very important. We also use third-party cookies that help us analyze and understand how you use this website. We'll assume you're ok with this, but you can opt-out if you wish. File Format. Then, you are at the right place. Physical Medical History Template. ), physical exam including a detailed neurologic exam, assessment and plan including impairments and disability, goals, factors … Now you can create your own beautiful and professional CD Jewel Cases and CD Labels in just minutes! Template Word Patient Registration Form Template Blank Medical History And Physical Form Template10071304 Physical Therapy Evaluation Template Eliolera History And Physical Form Template1024600 5 Best s of Physical Therapy Intake Form Template Physical History And Physical Form Template298386 Yearly Physical Examination Form History And Physical Form Template831535 Printable Physical … Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. This form usually contains prior medical history such as previous tests, ailments that the patient treated … Inventory Form Templates; Form Templates; If you are a business manager, school administrator, or someone working in the healthcare industry, you will find this article useful as we will provide you with tips and guidelines on how to create yearly physical and medical forms for your respective organization. Dental hospitals or clinics use dental, medical history form templates for your effective treatment in the future. Instead of asking everyone about their disease in your family, make a family medical history form in which all the information about every person’s medical situation should be included. History And Physical Template Word : 10 11 History And Physical Template Word | Elainegalindo Within History And Physical Template Word. Doctors can use this form template to record notes from an annual physical examination. You also have the option to opt-out of these cookies. 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Nowadays, children get sick because of some bad weather or unhealthy food. history and physical template word eye exam form template Example Sample High School Student Resume for Summer Internship Beautiful Examples eye exam form template Free Sample Business Case Template Word Student Registration Use Download Business Plan Template Blank Business Plan Template Word Fresh Blank Photo, Free Collection 42 Word Cv Template Example 15 inventory templates Free Email Sign Up Sheet Template Luxury Pledge Form Awesome Word Fresh Download Fresh Employment Contract Template Word Lovely Hr Group Work Example Model history physical form template – kingest Examples. I was wondering if anyone has any good H&P templates in MS Word format? The links below are to actual H&Ps written by UNC students during their inpatient clerkship rotations. Why? Medical history form is one of the most important medical documents which is always required for various purposes. It contains your personal Information, contact details, medication history, physician details, surgery details, current disease, past disease, and signature at the end of this document to make it a legal document. For the healthcare profession, it is essential to save every patient’s medical record by filing the medical history forms. PDF; Size: 312 KB. Comprehensive Adult History and Physical (Sample Summative H&P by M2 Student) Chief Complaint: “I got lightheadedness and felt too weak to walk” Source and Setting: Patient reported in an in-patient setting on Day 2 of his hospitalization. I was wondering if anyone has any good H&P templates in MS Word format? Pediatric H&P Dictation Template As you begin, state that you want the transcriptionist to use the Pediatric H&P Template for the dictation General Tips… • Include the name of the attending physician for whom you are dictating • CC a copy to the PCP and any subspecialists who care for the patient Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Everyone knows about their genetic health issues. The medical history of a person is an essential document for making some crucial decisions. I have learned how to create the HandP template document, add the appropriate combo boxes and free texts boxes and create the “clean” template. 3In order to understand the relationship between hardware resources, load and performance, its important to have a way to visualize the factors involved and how they affect each other. They are mentioned in chronological order with complete information. Search for a book, article, website, film, or enter the information yourself. It must be written in a way that is understandable to prevent you from any complexities. You can see here a vast collection of medical history form templates in Word or Pdf, which helps to save your medical history in documents required for many reasons. HISTORY OF PRESENT ILLNESS: This is a (XX)-year-old previously healthy male who went out for a party a night and a half ago. What Is A Microsoft word template? Patient medical history forms are required by the hospital or clinic to keep their medical records. A Genogram Diagram, also known as the Family Diagram, is a pictorial representation of a person’s family relationships and medical history designed to keep track of certain family related traits and attributes. Free 60 History and Physical Template Word Simple, This Is Article About Free 60 History and Physical Template Word Simple, Other Design Ideas Of Free 60 History and Physical Template Word Simple. Who Should Include In Your Family Medical History Form, 60+ Employee Warning Notice Form & Templates, 55+ Employee Evaluation Form Templates [PDF+DOC], 55+ Employee Vacation Request Form Templates, 20+ Free Construction RFI Template Forms (Printable PDF) →. Sample Medical History and Physical Examination Form. History and Physical Examination (H&P) Examples . B) Physical Examination. It is mandatory to procure user consent prior to running these cookies on your website. Microsoft Word History And Physical Template Word. This category only includes cookies that ensures basic functionalities and security features of the website. Download Work order format Sample – kobcarbamazepi 2019 from history and physical template word templates with resolution : 717 x 341 pixel. The best way to save the record of your medical situation is medical history form. General examination: G/C – … Use free blank medical history form templates to save the records of medical history. Medical history forms an essential document to purchase an insurance policy; insurance agents ask for your medical history before giving an insurance policy. What Is A Microsoft word template? The surgeon (physician of record) may complete the medical clearance H/P form for the patient, or defer it to the primary medical physician. Me: Free Bibliography & Citation Maker. Normal Physical Exam Template Samples. Microsoft Word History And Physical Template Medical Student . However, their main purpose is to show the doctors valuable information about the patient health history, care requirements and the risk factors. It contains the histories of diseases the person might have encountered. It is one of the most important documents for your medical treatment or procedure and other legal issues. Reply ⤦ Nasir hameed says: Apr 11, 2018 at 4:46 pm thank you. History And Physical Form Templates Work In Template Pediatric Example Divorce Separation Agreement Template Silent Partner Massachusetts Example Personal Medical History Template Release Forms Records Form Simple general incident report form template – benvickers Picture Resume Template In Word Cv Template Word Sample Project Timeline Professional, Physical … 8/10/2017 0 Comments Bib. She was found down at home by her niece about a week ago. This template designed specifically to record the physical health of the patients records different medical conditions minutely. history and physical template word History Physical Template Form Patient And – hedonia Free Download History And Physical Form Templates Work In Template Pediatric Free Sports Team Registration Form Example Template Camp Sample – inntegra Simple Personal Medical History Template Release Forms Records Form New history physical form template – kingest Model, Resume Template In Word Cv Template Word Sample Project Timeline Sample 50 Business Invoice Template Word Picture Unique History and Physical Template Pdf el 38 Professional 50 Professional Invoice Template Word Download Ms Powerpoint 2010 themes Cheerful Best Manager Certificate Template Example. Everyone in the party apparently had problems afterwards with regard to their belly. Download. 19 November 1. Point 2. Description of the type of surgeries, the reason behind the surgery, date of it with its provider name. If you are looking for History And Physical Form Template you’ve come to the right place. A document that contains the information of a person’s health is called medical history form. You also have the option to opt-out of these cookies. Help! These History And Physical Form Template are free to download and use and are available in several formats such as Word, Excel and PDF. This website uses cookies to improve your experience. Niece stated that she … Employers want to access your medical history in case of any medical issues. DATE OF ADMISSION: MM/DD/YYYY. Press, Joomla, Drupal, Dot. If you visit a new doctor, he needs to view your medical history for effective treatment. For that purpose, they include it in the company’s recruitment process that helps you to prevent any medical issues in the future. previously Microsoft Word is the world’s most utilized content and page … You don’t need great design skills as a variety of have you covered. It contains the histories of diseases the person might have encountered. Ask for every close relative and parent of their family medical history form to make a family medical history form is the best way to gather medical information from your family. In all honesty, these burial support programs don't reach a lot of hurt to the spending limit of the deprived relatives. Microsoft Word History And Physical Template Free. Mar 31, 2020 - History And Physical Template Word - Calep.midnightpig.co in History And Physical Template Word - Great Professional Templates This category only includes cookies that ensures basic functionalities and security features of the website. Initial Clinical History and Physical Form Date Patient Information Race Caucasian African American Asian Hispanic Multi-Racial Other Sex Male Female Marital history and physical template Inpatient History & Physical Form Internal Medicine Greenville Hospital System ( ) Initial Visit Date: 1 MD: ( ) Consult requested by: … He is in no acute distress. It is the best way to keep a record of it for the future. In all honesty, these burial relieve programs don't attain a lot of harm to the spending limit of the deprived relatives. GUIDELINES FOR HISTORY AND PHYSICAL 1. Create them with Microsoft Word templates. Family medical history form is one of the best ways to prevent any medical issue suffering from your family. HISTORY & PHYSICAL LONG FORM / COMPREHENSIVE (Comprehensive H&P required for all admissions > 24 Hours UCLA Form #316042 Rev. Word History And Physical Template Word have been set taking place by making at least one segments and by next embeddings a progress of content boxes that contain gratifying content or attainable boxes containing pictures within those segments. Free History and Physical Template Word Free Cover Letter Examples and picture from history and physical template word sample with resolution : 638 x 359 pixel. Nevertheless, there are different types of medical history forms and each is different from the other. history physical form template – kingest Free Pediatric soap Note Template Simple Fresh Employment Contract Template Word Lovely Hr Group Work Example Simple Best Blank Soap Note Template Word With Soap Note Template Word Best Free Email Sign Up Sheet Template Luxury Pledge Form Awesome Word Fresh Sample, casting call template – taraisoftware Download 15 inventory templates Photo blank call sheet template – erikhays New Free Collection 42 Word Cv Template Sample History Physical Template Form Patient And – hedonia Professional. Medical history form templates for employees are used to fill your current and past medical situation in detail, which helps to give an effective treatment in case of any emergency. These cookies will be stored in your browser only with your consent. Stable release. These cookies do not store any personal information. Free medical history forms templates for health care are also available in our vast collection of templates. If you are operating physician services and you want your patients to get more effective services from your ends you should look at this template. I am a doctor who needs to create a Word fillable form for histories and physicals to be used by myself in our hospital when I admit a patient. Free personal medical history forms are just one click away. A great way for your child to learn weekly spellings as … Free family medical history form in Word or template is just one click from your access. First of all, the name of the patient, phone number, gender, age with an address is included in this portion of the medical history form. For medical research, they need to study the patient’s medical history who is suffering from some specific medical issues or disease. History And Physical Template - Fill Online, Printable inside History And Physical Template Word Saved by Aria Lynn Reward Chart Template Journal Template Word Wide Web Word Structure Cover Sheet Template Student Resume Template Microsoft Word 2007 Word Free Label Templates This is a sample of a physical examination form which allows a person to collect the medical history of the person before examining him. These health history form templates will help you to track the patient’s health condition. A specialized essayist has to know the MS Word back up to front. Looking to download History And Physical Form Template? Details of the women’s medical condition are discussed in this date of the last menstrual cycle, a number of pregnancy, no. In the family medical history form, Children’s, brothers, sisters, parents, grandparents, and cousins’ medical problems are included. of live birth, and complications during pregnancy. See our complete guide for teeth whitening consent form with the vast collection of its templates. These templates are easy to be modified and can be downloaded for future use. Developer(s)Microsoft. Even if you don’t currently have any health problems, your family health history will give you a good idea about your own and your family’s future health. Perfect... Commercial 906 KB Download. CD Jewel Case and Label Creator for Word. Jun 3, 2020 - History And Physical Template - Fill Online, Printable inside History And Physical Template Word - Creative Sample Templates The medical history forms are crucial several ways, for instance, the insurance firms uses them to judge the insurability of that person on either life or medical insurance. History and Physical Medical Transcription Sample Report #3. In some situations, it works as proof and prevents you from many critical issues. A Physical Examination is a process wherein a medical practitioner goes through the body of a patient and checks for any sign of disease. It’s important to give information about your medical history when you visit a new consultant. It must be written in a way that is understandable to prevent you from any complexities. You can see many common factors in a family because of their genes and the same environment. Help! Sometimes, employers want to know that the person they are hiring is fit or not. For that purpose, you need a family medical history form template to make a medical history of your whole family. It’s essential to have a record of your medical situation with your parents and close relatives. History And Physical Template Word : 67 Medical History Forms [Word, Pdf] – Printable Templates For History And Physical Template Word. If you want to visit a new consultant for a second opinion, a new doctor wants to know your medical history for effective treatment. You can ask for your medical history form from the hospital or clinic you have visited; they have medical history forms for each patient. A common genetic disease is high blood pressure, diabetes, heart disease, and cancer. 12/15/2018 0 Comments Advertisement Want to save some money on business cards? dot physical form 2016 Templates Fillable & Printable Samples History And Physical Form Template298386 download Free Sample Example And Format Templates word pdf excel doc xls State Forms School Camp History And Physical Form Pdf Mi Health History And Physical Form Template10481359 It is the most important document in various judiciary cases. Description of the type of test, date, provider name, and the result of the test is included in the medical history form. Take a look at a physical examination form template if you want to know what’s included in the form. Patient health history questionnaire (4 pages) Have new patients complete this health history questionnaire form prior to their first appointment. Every family member’s medical history form is one of the best ways for it. These cookies will be stored in your browser only with your consent. Medical history form template is a template of form that states a person’s medical report. Basically, a Microsoft word template resembles any within acceptable limits word archive, the thing that matters is that it is meant … Below we share every element of medical history, which helps you to understand the medical history form format more clearly. Required fields are marked * Comment. If anyone doesn’t know from which your family members suffer from. Chief Complaint Why the patient came to the hospital Should be written in the patient's own words II. It includes the person’s personal diseases, the health in general, and the specific factors that are possible to be relevant to current health in which it will … Family medical history form. Date of the surgical procedure, the name of the procedure, name of the surgeon and the hospital where it was performed are all … The second component of a patient’s medication history form is the history of surgical procedures performed on the patient. Written in. It is helpful for further treatment in case you visit a new consultant for a second opinion. Talking about templates, today the templates of many medical forms are available online including a eye … Nowadays, it’s common to have some genetic health problems; you may face many health issues from which your parents and their parents suffer. This chart tool was developed by the Christiana Care Health System HIV Program as a comprehensive and consistent nursing assessment tool and as a way to insure that necessary information is … They visit their doctor at least once a week. It is mandatory to procure user consent prior to running these cookies on your website. More templates like this. When you create your medical history document, you need a personal medical history form template to deliver your medical history. Preview. The template includes all those questions which a physician may want to ask the patient coming for a check-up. The surprising History And Physical Template – Fill Online, Printable Within History And Physical Template Word picture below, is other parts of History And Physical Template Word content which is sorted within Word Template and posted at January 21, 2020. Medical history templates are aimed at saving the time and the money of the person. Hi everyone, I hope all is well. This website uses cookies to improve your experience while you navigate through the website. By clicking “Accept”, you consent to the use of ALL the cookies. Child medical history forms are used to keep a record of the medical situation of your child. I have learned how to create the HandP template document, add the appropriate combo boxes and free texts boxes and create the “clean” template. Details. Child medical release form templates are also useful for this purpose to access the child’s medical history in case of any emergency. Free download History Physical Template Form Medical And – kingest simple from history and physical template simple with resolution : 638 x 479 pixel VITAL SIGNS: T-max was 100, currently 97.5, blood pressure … The form records patient's vital statistics, medications, risk factors, disease prevention and recommendations, health maintenance, and examination notes. The organization of the exam you described above is body part based, and CMS (Medicare)now highly recommends the Physical exam and ROS to be organized by organ systems….not body parts. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. For hospitals or clinics, you can find a vast collection of medical history forms for healthcare. Yearly physical form. Details. 9/14/2017 0 Comments Artisteer 4. History and physical template word in title . Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. To get a better understanding of this, you can take a look at a medical history form template. Chief Complaint: This is the 3rd CPMC admission for this 83 year old woman with a long history of hypertension who presented with the chief complaint of substernal “toothache … We have 19 images about History And Physical Form Template including images, pictures, pdf, wword, and more. History And Physical Template - Fill Online, Printable within History And Physical Template Word. Reply ⤦ Write your Viewpoint Cancel reply. You can see our fantastic selection of free editable and printable medical history form templates. Divorce Separation Agreement Template Silent Partner Massachusetts Professional general incident report form template – benvickers Picture Physical Therapist Resume Example Picture 50 Professional Invoice Template Word Model Child Medical Consent Form Sample Forms Travel Letter Example Picture, History Physical Template Form Patient And – hedonia Sample blank call sheet template – erikhays Sample casting call template – taraisoftware Examples Best Blank Soap Note Template Word With Soap Note Template Word Best Format Pediatric soap Note Template Download. safetynet.doi.gov. (7/13) Page 2 of 2 MRN: Patient Name: (Patient Label) Allergic/Immuno: WNL Reactions to: Drugs Food Insects Skin rashes Trouble breathing Persistent infections HIV exposure Endo: … These cookies do not store any personal information. Normal Physical Exam Template Samples. You can see here a vast collection of medical history form templates in Word or Pdf, which helps to save your medical history in documents required for many reasons. 10/30/2017 0 Comments Software boundaries and limits for Share. The awesome Printable H P Template – Fill Online, Printable, Fillable Within History And Physical Template Word digital photography below, is other parts of History And Physical Template Word write-up which is listed within Word Template and published at January 27, 2020. Quick and easy- to- use web design generator for Windows with hundreds of design options and export to Word. This program can also make DVD labels! Any doctor needs the background of the patient medical condition in order to proceed with the treatment. There are some forms which … But opting out of some of these cookies may have an effect on your browsing experience. Slideshare uses cookies to improve functionality and performance, and to … History of Present Illness (HPI) a chronologic account of the major problem for which the patient is … In these page, we also have variety of images available. The students have granted permission to have these H&Ps posted on the website as examples. Medical History Template Word : 10 11 History And Physical Template Word | Elainegalindo Pertaining To Medical History Template Word. A private medical history form is essential medical documentation required for many purposes. This medical form document contains information about the patient’s diagnoses, medical investigations, and past diseases, etc. A clear description of medication should be mentioned in your medical history form, in which the dose of the medication with timing are included. But opting out of some of these cookies may affect your browsing experience. Download Share. It contains a method of treatment, cost of it, drugs involved in this procedure with all personal information. History and Physical Medical Transcription Sample Report #2. Select style & search. Mar 31, 2020 - History And Physical Template Word - Calep.midnightpig.co in History And Physical Template Word - Great Professional Templates Good Templates for History and Physicals/Progress Notes. Ray's Spelling and Word Games . Describe the type of allergy with its reaction. C++. Your email address will not be published. Medical history form template is a template of form that states a person’s medical report. Resume template, new template examples, letter template, custom template, professional template, powerpoint template, template format, card template, certificate template. Thanks in advance. Sometimes, in legal issues, the judiciary asks for the medical history of your client then you need a medical release form to access your client’s medical history. uiltexas.org. Andrew Freeman. It includes the person’s personal diseases, the health in general, and the specific factors that are possible to be relevant to current health in which it will show the assessment of a person’s health. Download your favorite free medical history form templates in Word or Pdf in one click. 6. Microsoft Word History And Physical Template Examples. These medical history forms templates are available in excel, World, or Pdf, which you prefer. This website uses cookies to improve your experience while you navigate through the website. 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