c3-preview.prosites.comc3-preview.prosites.com/276012/wy/docs/Patient information.pdf · 31773 TEMECULA PARKWAY SUITE A TEMECULA, CA 92592 CONFIDENTIAL HEALTH HISTORY Date of Birth:

Page 1 <img data-url='document/c3-informationpdf-31773-temecula-parkway-suite-a-temecula-ca-92592-confidential.html?page=1' data-page='1' class='cut-thumb lazyload' alt='Page 1: c3-preview.prosites.comc3-preview.prosites.com/276012/wy/docs/Patient information.pdf · 31773 TEMECULA PARKWAY SUITE A TEMECULA, CA 92592 CONFIDENTIAL HEALTH HISTORY Date of Birth:' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader033.cupdf.com/reader033/viewer/2022050421/5f905e4dbb7aed53484350ba/html5/thumbnails/1.jpg' width='140' height='200' /> Page 2 <img data-url='document/c3-informationpdf-31773-temecula-parkway-suite-a-temecula-ca-92592-confidential.html?page=2' data-page='2' class='cut-thumb lazyload' alt='Page 2: c3-preview.prosites.comc3-preview.prosites.com/276012/wy/docs/Patient information.pdf · 31773 TEMECULA PARKWAY SUITE A TEMECULA, CA 92592 CONFIDENTIAL HEALTH HISTORY Date of Birth:' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader033.cupdf.com/reader033/viewer/2022050421/5f905e4dbb7aed53484350ba/html5/thumbnails/2.jpg' width='140' height='200' /> Page 3 <img data-url='document/c3-informationpdf-31773-temecula-parkway-suite-a-temecula-ca-92592-confidential.html?page=3' data-page='3' class='cut-thumb lazyload' alt='Page 3: c3-preview.prosites.comc3-preview.prosites.com/276012/wy/docs/Patient information.pdf · 31773 TEMECULA PARKWAY SUITE A TEMECULA, CA 92592 CONFIDENTIAL HEALTH HISTORY Date of Birth:' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader033.cupdf.com/reader033/viewer/2022050421/5f905e4dbb7aed53484350ba/html5/thumbnails/3.jpg' width='140' height='200' /> Page 4 <img data-url='document/c3-informationpdf-31773-temecula-parkway-suite-a-temecula-ca-92592-confidential.html?page=4' data-page='4' class='cut-thumb lazyload' alt='Page 4: c3-preview.prosites.comc3-preview.prosites.com/276012/wy/docs/Patient information.pdf · 31773 TEMECULA PARKWAY SUITE A TEMECULA, CA 92592 CONFIDENTIAL HEALTH HISTORY Date of Birth:' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader033.cupdf.com/reader033/viewer/2022050421/5f905e4dbb7aed53484350ba/html5/thumbnails/4.jpg' width='140' height='200' /> Page 5 <img data-url='document/c3-informationpdf-31773-temecula-parkway-suite-a-temecula-ca-92592-confidential.html?page=5' data-page='5' class='cut-thumb lazyload' alt='Page 5: c3-preview.prosites.comc3-preview.prosites.com/276012/wy/docs/Patient information.pdf · 31773 TEMECULA PARKWAY SUITE A TEMECULA, CA 92592 CONFIDENTIAL HEALTH HISTORY Date of Birth:' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader033.cupdf.com/reader033/viewer/2022050421/5f905e4dbb7aed53484350ba/html5/thumbnails/5.jpg' width='140' height='200' />

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