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Emory Family Practice, Powell, TNemoryfamilypractice.com/New Patient Forms.pdf · Discharge from penis/vagina Blood in Urine Getting up at night to urinate How many times? Skin Rash

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Page 1: Emory Family Practice, Powell, TNemoryfamilypractice.com/New Patient Forms.pdf · Discharge from penis/vagina Blood in Urine Getting up at night to urinate How many times? Skin Rash
Page 2: Emory Family Practice, Powell, TNemoryfamilypractice.com/New Patient Forms.pdf · Discharge from penis/vagina Blood in Urine Getting up at night to urinate How many times? Skin Rash
Page 3: Emory Family Practice, Powell, TNemoryfamilypractice.com/New Patient Forms.pdf · Discharge from penis/vagina Blood in Urine Getting up at night to urinate How many times? Skin Rash
Page 4: Emory Family Practice, Powell, TNemoryfamilypractice.com/New Patient Forms.pdf · Discharge from penis/vagina Blood in Urine Getting up at night to urinate How many times? Skin Rash
Page 5: Emory Family Practice, Powell, TNemoryfamilypractice.com/New Patient Forms.pdf · Discharge from penis/vagina Blood in Urine Getting up at night to urinate How many times? Skin Rash