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5955 US Route 20 West LaFayette, NY 13084
       315-677-9728 (p)/315-677-3372 (f)


This includes, but not limited to, a murmur, chest pain, arrhythmia, elevated blood pressure, history of rheumatic fever or any history of cardiac surgery.

Does your child have any musculosketal problems including, but not limited to, arthritis, fractured/dislocated bones, any muscle strain, ligament tear, joint sparain, back pain, neck injury, or anything else you feel we should be aware of?

Does your child have any history of gastrointestinal problems including but not limited to, stomach ulcers, Crohn's disease, irratable bowel syndrome, reflux, hiatal hernia or any condition you feel we should be aware of?