Tuesday, April 2, 2019

Alyssa Trivett


Form C

A copy of this form is as valid as the original.
Patient is ambulatory.
Patient has stabilized.
Patient's present capabilities are limited activity.
Patient is stage four.
Slight limitation of functional capacity, capable of light work,
thirty five to fifty five percent.
The patient is a viable candidate for job retraining.
A copy of this form is as valid as the original.
 The Last Message -- William Hatherell

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