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* 1. Please fill in

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* 2. Details Below Please

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* 3. Brief history

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* 4. Other notes first impression

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* 5. Detail

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* 6. Conditions

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* 7. General Health

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* 8. About the treatment

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* 9. Pathology Ear

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* 10. Treatment Plan

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* 11. Points Used

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* 12. Notes of Treatment

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* 13. Rection from client

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* 14. Forward Planning

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