div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imageimg data-url=firma-del-paciente-o-guardian-si-menor-de-18-aos-for-office-use-only-baselinehtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: azpachorg · Firma del paciente o Guardian Si menor de 18 años For office use only: Baseline evaluation all new illnesses are documented on the ongoing problem list CHCCC Health loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentsusreader033viewer20220419235e6cf3bebf723c3490429a5bhtml5thumbnails1jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=2Page 2button div class=ts-imageimg data-url=firma-del-paciente-o-guardian-si-menor-de-18-aos-for-office-use-only-baselinehtmlpage=2 data-page=2 class=ts-thumb lazyload alt=Page 2: azpachorg · Firma del paciente o Guardian Si menor de 18 años For office use only: Baseline evaluation all new illnesses are documented on the ongoing problem list CHCCC Health loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentsusreader033viewer20220419235e6cf3bebf723c3490429a5bhtml5thumbnails2jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=3Page 3button div class=ts-imageimg data-url=firma-del-paciente-o-guardian-si-menor-de-18-aos-for-office-use-only-baselinehtmlpage=3 data-page=3 class=ts-thumb lazyload alt=Page 3: azpachorg · Firma del paciente o Guardian Si menor de 18 años For office use only: Baseline evaluation all new illnesses are documented on the ongoing problem list CHCCC Health loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentsusreader033viewer20220419235e6cf3bebf723c3490429a5bhtml5thumbnails3jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=4Page 4button div class=ts-imageimg data-url=firma-del-paciente-o-guardian-si-menor-de-18-aos-for-office-use-only-baselinehtmlpage=4 data-page=4 class=ts-thumb lazyload alt=Page 4: azpachorg · Firma del paciente o Guardian Si menor de 18 años For office use only: Baseline evaluation all new illnesses are documented on the ongoing problem list CHCCC Health loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentsusreader033viewer20220419235e6cf3bebf723c3490429a5bhtml5thumbnails4jpg width=140 height=200 divdiv