# Profoundd archive — Epstein Files
# Bates number: EFTA01247939
# Title:        Name of Parent cc Guardon STATE OF FLORIDA
# Dataset:      9
# Pages:        1
# Tags:         epstein, doj, dataset-9
# Source PDF:   https://profoundd.com/epstein-docs/EFTA01247939/download
# Doc viewer:   https://profoundd.com/epstein-docs/EFTA01247939
#
# Text below is what Profoundd has extracted from the source PDF.
# 'ocr-enriched' tag means OCR was applied to scan-only pages.
# Image descriptions are AI-generated factual captions (llava:13b).
#----------------------------------------------------------------------

=== SUMMARY ===
H Student's Ful Name Address Name of Parent cc Guardon STATE OF FLORIDA DEPARTMENT OF HEALTH & REHABILITATIVE SERVICES STUDENT HEALTH EXAMINATIONS Da'e i/i /c/ct Phone Race Sex 1-- B:Mxtue A. HEALTH EXAMINATION Height School Blood Pressuren (/) NornsaluN; Abnormal -A N A COMMENT: Abnormal Findings, by number I.Wes/wee 2. Skin/Nose 3. Head/Scalp 4. Ewa 6. Visual Acuity & L) 6. Eas 7. Auditory Acuity Ift 8 L) 8 Nose / Throat 9. Mouth. Teeth and Gums 10. Chest / Lungs 11. Heart 12. Abdomen 13. Geni


=== EXTRACTED TEXT ===
H 
Student's 
Ful Name 
Address 
Name of Parent cc Guardon STATE OF FLORIDA 
DEPARTMENT OF HEALTH & REHABILITATIVE SERVICES 
STUDENT HEALTH EXAMINATIONS Da'e i/i /c/ct 
Phone Race Sex 1--
B:Mxtue 
A. HEALTH EXAMINATION Height School 
Blood Pressuren 
(/) NornsaluN; Abnormal -A N A COMMENT: Abnormal Findings, by number 
I.Wes/wee 
2. Skin/Nose 
3. Head/Scalp 
4. Ewa 
6. Visual Acuity & L) 
6. Eas 
7. Auditory Acuity Ift 8 L) 
8 Nose / Throat 
9. Mouth. Teeth and Gums 
10. Chest / Lungs 
11. Heart 
12. Abdomen 
13. Genitals 
14. Musculo-Skeleta/ 
IS. Neurological 
16. (Vainest 
17. Emotional / Mental/ 
Behavior Preb.) 
IS. Handicap. physical/ 
other (Specify) 
19. Activity Restrictions 
(Specify) 
20. Abuse. substance/ 
PRY:Real / emotional 
21. Nutrition 
22. Other 
B. HEALTH HISTORY (se6ous illnesses Injuries: Cudain) 
(attach narrative it additional space needed) 
O. LABORATORY (as indicated) 
Hemoglobln/Hematccrit   Stool (O & P) 
Ttberculin test: Lead   Sickle Cell 
NAME.
TITLE:  
ADDRESS: 
(Please Print) ramts v imGcNtrARP eENTSR 
1 1216 Ro I Palm Beach Blvd. iss
Royal L 33411 fn'o
date 
res 
Autho zed Signature 
MRS-II Form 3040, Me/ 91 (0bsotetes previous editions) 
(Stock ember: 5744-000.3040-2) 
CONFIDENTIAL irlf
3501.178-015 
Page 1 of 1 
EFTA_00071446 
EFTA01247939