div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imageimg data-url=patient-information-and-history-north-shore-nspw-north-shore-physical-wellnesshtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: Patient Information and History - North Shore …NSPW North Shore Physical Wellness Date: INSURANCE Name: First Address: Birthday: Pattent Initial Age: Last Male Name called loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentsmxreader034viewer20220424065f1fcc8ba190172a614d6dd0html5thumbnails1jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=2Page 2button div class=ts-imageimg data-url=patient-information-and-history-north-shore-nspw-north-shore-physical-wellnesshtmlpage=2 data-page=2 class=ts-thumb lazyload alt=Page 2: Patient Information and History - North Shore …NSPW North Shore Physical Wellness Date: INSURANCE Name: First Address: Birthday: Pattent Initial Age: Last Male Name called loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentsmxreader034viewer20220424065f1fcc8ba190172a614d6dd0html5thumbnails2jpg width=140 height=200 divdiv