{"content":[{"text":"31/2 - 4 YEAR OLD HEALTH ASSESSMENT","bbox":{"left":0.204025,"top":0.043515,"width":0.591977,"height":0.023674}},{"text":"Name: ………………………………………. D.O.B. ………………….","bbox":{"left":0.202715,"top":0.092407,"width":0.594639,"height":0.015783000000000005}},{"text":"EYES \n Family history of eye problems? \n □ \n Yes. Please list","bbox":{"left":0.095259,"top":0.144342,"width":0.26093900000000003,"height":0.05788299999999999}},{"text":"HEARING \n □ \n Listening \n □ \n Follows instructions","bbox":{"left":0.509156,"top":0.144342,"width":0.19445299999999988,"height":0.071574}},{"text":"…………………………………………..","bbox":{"left":0.13054,"top":0.219105,"width":0.33265,"height":0.01578299999999999}},{"text":"History of \n Ear infections","bbox":{"left":0.509156,"top":0.232004,"width":0.11253400000000002,"height":0.03972500000000001}},{"text":"…………………………………………..","bbox":{"left":0.13054,"top":0.251884,"width":0.33265,"height":0.01578299999999999}},{"text":"□ \n Yes \n □ \n Yes","bbox":{"left":0.684957,"top":0.249596,"width":0.06852900000000006,"height":0.04825799999999994}},{"text":"□ \n No \n □ \n No","bbox":{"left":0.789994,"top":0.249596,"width":0.05422799999999994,"height":0.04825799999999994}},{"text":"Chronic discharge","bbox":{"left":0.509156,"top":0.28053,"width":0.1472819999999999,"height":0.01578299999999999}},{"text":"………………………………………….. \n □ \n No \n □ \n Not known","bbox":{"left":0.095259,"top":0.284663,"width":0.367931,"height":0.06506800000000001}},{"text":"Recurrent/chronic otitis media? \n □ \n Yes","bbox":{"left":0.509156,"top":0.314734,"width":0.2541699999999999,"height":0.04041199999999995}},{"text":"□ \n No","bbox":{"left":0.788885,"top":0.331472,"width":0.0504190000000001,"height":0.023673999999999973}},{"text":"Parental concerns with child’s vision? \n □ \n None identified \n □ \n Yes. Please list \n …………………………………………..","bbox":{"left":0.095259,"top":0.365829,"width":0.367931,"height":0.082123}},{"text":"Parental concerns with child’s hearing? \n □ \n None identified \n □ \n Yes. Please list \n …………………………………………..","bbox":{"left":0.509156,"top":0.371244,"width":0.3679309999999999,"height":0.08212399999999997}},{"text":"…………………………………………..","bbox":{"left":0.13054,"top":0.464948,"width":0.33265,"height":0.01578299999999999}},{"text":"…………………………………………..","bbox":{"left":0.544437,"top":0.470364,"width":0.33265,"height":0.01578299999999999}},{"text":"ORAL HEALTH \n □ \n Brushes teeth \n □ \n Type of toothbrush \n □ \n Normal \n □ \n Battery","bbox":{"left":0.095259,"top":0.502774,"width":0.18963100000000005,"height":0.13156499999999993}},{"text":"EATING HABITS","bbox":{"left":0.509156,"top":0.502774,"width":0.15502399999999994,"height":0.018469999999999986}},{"text":"Once daily","bbox":{"left":0.298276,"top":0.526943,"width":0.087918,"height":0.01578299999999999}},{"text":"Appetite \n □ \n Poor","bbox":{"left":0.509156,"top":0.536563,"width":0.0991789999999999,"height":0.040483999999999964}},{"text":"Twice daily","bbox":{"left":0.29999,"top":0.551528,"width":0.09578300000000001,"height":0.01578299999999999}},{"text":"□ \n Good","bbox":{"left":0.628507,"top":0.553373,"width":0.07818100000000006,"height":0.023673999999999973}},{"text":"□ \n Excellent","bbox":{"left":0.731931,"top":0.553373,"width":0.10697100000000004,"height":0.023673999999999973}},{"text":"Variety of food Comments \n □ \n Meats …………………………….. \n □ \n Vegetables …………………………….. \n □ \n Fruit …………………………….. \n □ \n Dairy …………………………….. \n □ \n Processed foods .………………………..","bbox":{"left":0.509156,"top":0.593073,"width":0.36914099999999983,"height":0.13960300000000003}},{"text":"Dental visits \n □","bbox":{"left":0.095259,"top":0.651219,"width":0.10898900000000002,"height":0.040482999999999936}},{"text":"□ \n No","bbox":{"left":0.278418,"top":0.668028,"width":0.05543800000000004,"height":0.023673999999999973}},{"text":"Yes","bbox":{"left":0.216827,"top":0.674378,"width":0.03135299999999999,"height":0.01578299999999999}},{"text":"Parental concerns with child’s oral health? \n □ \n None identified \n □ \n Yes. Please list \n …………………………………………..","bbox":{"left":0.095259,"top":0.7078,"width":0.367931,"height":0.08212399999999997}},{"text":"Variety of drinks \n □ \n Water …………………………….. \n □ \n Milk …………………………….. \n □ \n Fruit juice …………………………….. \n □ \n Soft drinks ……………………………..","bbox":{"left":0.509156,"top":0.748774,"width":0.37700100000000003,"height":0.11501799999999995}},{"text":"…………………………………………..","bbox":{"left":0.13054,"top":0.80692,"width":0.33265,"height":0.01578299999999999}},{"text":"2","bbox":{"left":0.495044,"top":0.941955,"width":0.010080000000000033,"height":0.01578299999999999}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}