dr. koutures • orange county pediatric and sports medicine practice · 15. does anyone in your...

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Page 1: Dr. Koutures • Orange County Pediatric and Sports Medicine Practice · 15. Does anyone in your family have a heart problem, pacemaker, or implanted defibrillator? 16. Has anyone
Page 2: Dr. Koutures • Orange County Pediatric and Sports Medicine Practice · 15. Does anyone in your family have a heart problem, pacemaker, or implanted defibrillator? 16. Has anyone
Page 3: Dr. Koutures • Orange County Pediatric and Sports Medicine Practice · 15. Does anyone in your family have a heart problem, pacemaker, or implanted defibrillator? 16. Has anyone
Page 4: Dr. Koutures • Orange County Pediatric and Sports Medicine Practice · 15. Does anyone in your family have a heart problem, pacemaker, or implanted defibrillator? 16. Has anyone