full page fax print · 2017-12-05 · clenching / grinding y n nursing bottle habits lip sucking /...

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Page 1: Full page fax print · 2017-12-05 · Clenching / Grinding Y N Nursing Bottle Habits Lip Sucking / Biting Y N Speech Problems Is your child currently under the care of a physician?
Page 2: Full page fax print · 2017-12-05 · Clenching / Grinding Y N Nursing Bottle Habits Lip Sucking / Biting Y N Speech Problems Is your child currently under the care of a physician?