COVID Screening and Medical History Update 2020

    Has anyone in your household experienced any of the following over the last 14 days?

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    Medical History Update

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    First Child:

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    Add another child to this appointment

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    Second Child:

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    Add another child to this appointment

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    Third Child:

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    [group group-3_1_1 clear_on_hide]

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    Add another child to this appointment

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    Fourth Child:

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    Add another child to this appointment

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    Fifth Child:

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    Add another child to this appointment

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    Sixth Child:

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    [group group-6_1_1 clear_on_hide]

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