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American Family Physician
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Encounter form developed by Mark H. Ebell, M.D., M.S., Michigan State University College of Human Medicine, East Lansing. Copyright© 2004 American Academy of Family Physicians. Physicians may photocopy or adapt for use in their own practices; all other rights reserved. "Point-of-Care Guides." Ebell MH. American Family Physician. April 15, 2004;69:1977-80. Accessible online at: http://www.aafp.org/afp/20040415/pocform.html.
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