%PDF-1.3
%
73 0 obj
<>/OCGs[1451 0 R]>>/OutputIntents[69 0 R]/Pages 67 0 R/Type/Catalog>>
endobj
112 0 obj
<>/Font<>>>/Fields[467 0 R 469 0 R 470 0 R 471 0 R 472 0 R 476 0 R 478 0 R 479 0 R 480 0 R 481 0 R 482 0 R 483 0 R 484 0 R 485 0 R 486 0 R 487 0 R 488 0 R 489 0 R 490 0 R 492 0 R 493 0 R 494 0 R 495 0 R 497 0 R 498 0 R 499 0 R 500 0 R 501 0 R 502 0 R 503 0 R 504 0 R 505 0 R 506 0 R 507 0 R 509 0 R 510 0 R 511 0 R 512 0 R 513 0 R 517 0 R 518 0 R 519 0 R 521 0 R 522 0 R 523 0 R 524 0 R 525 0 R 527 0 R 528 0 R 529 0 R 530 0 R 531 0 R 532 0 R 533 0 R 534 0 R 535 0 R 536 0 R 537 0 R 538 0 R 539 0 R 540 0 R 541 0 R 542 0 R 546 0 R 547 0 R 548 0 R 549 0 R 550 0 R 551 0 R 552 0 R 553 0 R 554 0 R 555 0 R 556 0 R 558 0 R 560 0 R 562 0 R 563 0 R 564 0 R 565 0 R 566 0 R 567 0 R 568 0 R 569 0 R 570 0 R 571 0 R 572 0 R 576 0 R 577 0 R 578 0 R 579 0 R 580 0 R 581 0 R 582 0 R 587 0 R 589 0 R 590 0 R 591 0 R 592 0 R 593 0 R 594 0 R 187 0 R 189 0 R 292 0 R 293 0 R 294 0 R 295 0 R 296 0 R 297 0 R 298 0 R 299 0 R 301 0 R 303 0 R 304 0 R 305 0 R 307 0 R 308 0 R 309 0 R 310 0 R 311 0 R 312 0 R 313 0 R 314 0 R 315 0 R 316 0 R 317 0 R 318 0 R 319 0 R 320 0 R 323 0 R 324 0 R 325 0 R 326 0 R 327 0 R 328 0 R 329 0 R 330 0 R 331 0 R 332 0 R 333 0 R 334 0 R 335 0 R 336 0 R 337 0 R 339 0 R 444 0 R 445 0 R 288 0 R 1548 0 R 1601 0 R 1602 0 R 1603 0 R 1604 0 R 1605 0 R 1606 0 R 1607 0 R 1608 0 R 1609 0 R 1610 0 R 1611 0 R 1612 0 R 1613 0 R 1614 0 R 1615 0 R 1616 0 R 1617 0 R 1618 0 R 1619 0 R 1620 0 R 1621 0 R 1622 0 R 1623 0 R 1624 0 R 1625 0 R 1626 0 R 1627 0 R 1628 0 R 1629 0 R 1630 0 R 1631 0 R 1632 0 R 1633 0 R 1634 0 R 1635 0 R 1636 0 R 1637 0 R 1638 0 R 1639 0 R 1640 0 R 1641 0 R 1642 0 R 1643 0 R 1644 0 R 1645 0 R 1646 0 R 1647 0 R 1654 0 R 1655 0 R 1656 0 R 1657 0 R 1658 0 R 1659 0 R 1660 0 R 1661 0 R 1662 0 R 1663 0 R 1664 0 R 1665 0 R 1666 0 R 1667 0 R 1668 0 R 1669 0 R 1670 0 R 1671 0 R 1672 0 R 1673 0 R 1674 0 R 1675 0 R 1676 0 R 1677 0 R 1678 0 R 1679 0 R 1680 0 R 1681 0 R 1682 0 R 1683 0 R 1684 0 R 1685 0 R 1686 0 R 1687 0 R 1688 0 R 1689 0 R 2174 0 R 2179 0 R 2180 0 R 2181 0 R 2182 0 R 2183 0 R 2184 0 R 2185 0 R 2186 0 R 2187 0 R 2188 0 R 3759 0 R 3760 0 R 3761 0 R 3762 0 R 3763 0 R 3764 0 R 3765 0 R 3766 0 R 3767 0 R 3768 0 R 3769 0 R 3770 0 R 3771 0 R 3772 0 R 3794 0 R 583 0 R 4057 0 R 4126 0 R 4127 0 R 4128 0 R 4129 0 R 4130 0 R 4131 0 R 4132 0 R 4133 0 R 4134 0 R 4135 0 R 4136 0 R 4137 0 R 4138 0 R 4139 0 R 4140 0 R]/SigFlags 1>>
endobj
68 0 obj
<>stream
Acrobat Distiller 9.4.2 (Macintosh)
False
PDF/X-1:2001
PDF/X-1a:2001
application/pdf
Kellie True
Patient Data SheetREV_sp:Layout 1
2020-05-31T19:00:35-04:00
QuarkXPress: pictwpstops filter 1.0
2012-01-26T12:48:47-05:00
2020-05-31T19:00:35-04:00
PDF/X-1a:2001
PDF/X-1:2001
PDF/X-1:2001
uuid:4c80fe49-358f-4b44-a896-4606d8ec5d51
uuid:ca4e414e-a1fc-ec43-bfcd-67e6a5ebfadc
1
1.1
endstream
endobj
67 0 obj
<>
endobj
1442 0 obj
<>
endobj
1443 0 obj
<>
endobj
116 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Type/Page>>
endobj
117 0 obj
<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/Type/Page>>
endobj
118 0 obj
<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/Type/Page>>
endobj
119 0 obj
<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/Type/Page>>
endobj
3776 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Type/Page>>
endobj
3777 0 obj
[3792 0 R 3793 0 R 3759 0 R 3760 0 R 3761 0 R 3762 0 R 3763 0 R 3764 0 R 3765 0 R 3766 0 R 3767 0 R 3768 0 R 3769 0 R 3770 0 R 3771 0 R 3772 0 R 3794 0 R]
endobj
4156 0 obj
<>stream
HWK$)xWC2jh%,|<3<@wDdUwˆ^EHʿ?>?}
/6meqD륵vןn}/?~?/Jbvh뭞64V>.Q+y_nh}zRj͏
6~{[GMcp?u]_bvGJսT[^ 8 chSu!
GX y,(
q%c.Gt>avg8 ҏ[NV4X{ᣘauoǚ _bwI4|bsR>7@|
\x; eO ,m:{0Z?n2]t=Džd~mqawbØ?E{[m?֭ bFskAҤ&ؓWSXosO;"*4oAІxqm[}\d [dWD2{BDU%~
5S}*Uxm(!";ن
0*%@0e=V-Q+CDTy2ab*C@l$>!|~
A+t{d0& _c,ϦS0z;S%Pe \C||̹ޗDƚ酃ӆb N@Y`?TTء{0˛^" ~;Fa*)0^k?eI)_ßiW 2-F[E{A@\uTkx\|r}5>S-xޙ@!o0i~>C50J,
n3#'#
"U_7fST$BK=/D*+DtQ %|V|9N? ^tbQ3vp3(
dJ(H1T/$'.Cc
Nˆ1R\b~Ix@I(q4:;,BU
lln ُ=dZ$킟o 5*:ў̑Z8d}(C7h!Ęg6VZrsQmk1}-2ɏ*<< 2
%ݱi^XU7*0AWcJϙS溯U42-v>D"_0rCa0|&0M-2">|ጃNұu1L?4Qw>v^Q2)*ʋpɎuس.C A UM5#'%+ j?+;gcq8jկVjկVjկVjVoF4g9XN
3E}ZפR)FlY=ۤ Ej&NsƭO:;O_usT%RzVE3E]{4O4:~>ԐU(O8Ӓ