%PDF-1.6 % 177 0 obj <> endobj 190 0 obj <>/Filter/FlateDecode/ID[<1A740A95BB443EAC13E439A3184D44D7><0254957E7A6621458895352DD1017C25>]/Index[177 25]/Info 176 0 R/Length 70/Prev 27618/Root 178 0 R/Size 202/Type/XRef/W[1 2 1]>>stream hbbd``b` $?` R$XX% 30.T+Hܰb`bdp&3j}0  endstream endobj startxref 0 %%EOF 201 0 obj <>stream hb```f``: x,  700l`^fPu?b#;ˡl\&jNo4M11 H310p%Md`SDG endstream endobj 178 0 obj <>/Metadata 7 0 R/PageLayout/OneColumn/Pages 175 0 R/PieceInfo<>>>/StructTreeRoot 13 0 R/Type/Catalog>> endobj 179 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 180 0 obj <>stream hUn1?R7)4 QR),hw&c&J2x왱9a{OE{Mh J.xpwqIrK^Vc<;>_٬Ρݱɳ汷ӸӰɚ.ɴʰز=ˆp4ϲ1.d鸿M",ʦ[ Md+\hBW}dʹJ i\rKWh9)lӌ`X#8Q@`wV&` r)KV:' `Ʌ aҶRO&K"i 3q60qT$ r6LHy m4rFjQ#XX݂U1kr"yV`-0Wp^%ۅm n/s 6~f~T-Qj968dU_[E'6pܥ'*4J(cn4ou|9`EeJ|"(_A4I/`8 3Z7q[` a %27%lP4jQ8-N*Q(w"қ"1~ t{כ*$ysvy D)/$}]u+Uub+ybzV endstream endobj 181 0 obj <>stream HUmS8_,$YK0>_g؎)0Dki}9N${w|29LS ҥ#RC:үPxKցctD_NSϺG{rE+[SڀnOI;Po"1+Uxq/dNj1!I0O[T[x`4@ Eₗ/-a'lk.EaeFL$"jY\.y1! YU g7! †}̞jmn$,U[ƑP-cvʭs/v;{~YQi.bA|jf3އaBR1lg+@O W0 h4QE; N(D{6,oSJ%B$_L}#!0B k~|8,ușsϱ&85* ;eڢX$yD}lD`ǖAߠ@-dx2(@Vt¿^1'otz;лny,c/̨e:~Ctf81m\il@]Hd} ɪbK^Wp6u_ĸR]Њri7*GQU>LIE{}g :Ի%T OϮf[^̹G(Ԇ1{Yw‹}rIlCIa:e8^sɗm z<?|jpngkꔨc# ^~a1瓪lgY-έ>stream HUnF}W ЗekvкQQMa*Rk6/qJv\IS!p3/l@l)wP E%"֑xwwHɪ$V%Ex7oONAg):(*ރ$pH':J8'XѴk[ϗ\,~ qR C\>u_aoBߠ))A8]h-hWc?ʼnpݵX?T͜jkI8 ?/9I<#Vh[2j̮ Rr!VI^x9f'>@l,Ϧ  }J NJR4.tꡎ3qs_4W]Z+8J8K| l˚ 5aZ^#u;vL Fl}`]9Túv ̗9Ije<'Łjvb)i&'[_g uyQ^UEiٛZZ$xaITjk7?o(T> Unj/{t.o}W==\l'a3W~ONI8T V (mEl*+O@4+G TK`ݚRǘ=R݄Qh]XnFBZ7\SXCN#;ZKGh KB<Xpn=YNW4o߶JNRU<ǻ6VK㾖* qxDW$? h ,Ҍ ]JlhТS$2RYAcíXح!&"'khԻEUv.J2FEvHx FP- x%)`'{PUGʋyR׭?W V^$d+ 1wZ0BCn {cAmg N2"$K:AVHg `5|u endstream endobj 183 0 obj <>stream HVn8}W#hI-8E[ *fҤ𥵕INY3sgDJNrdB * d_a]&Ѽ\$Ψr”wg =\P&9q)Fs+KU2u&McNCϜkb$E2''7c^<c] B&0 ),1fjZ$jf\yjɟi \_#o֗c),#C2K@Z|M[T`ƨR jk4`GϼBqtc :A1EG҇y4L/%#)(@&q?7䆌#5KpQ_j~d=\P<JVdh>Ejh6mӜl'0M1MmϴZJsT)Ւz%Y)%QzRj .#ZbL,Z2Vi;T)0whs9JORIMit$vQHjt{:БVGn~EB,u Ʈ%Ɠ`M ńK#8q Uv =i(3g ]A}r}@ulR4U0`֘4oܾ܇Wη KV{P?GԸiR 5ޢxYNդ*TNnwxM'~vfgoYa}uQ7\V~&Ե.kCyyhh )/MjV endstream endobj 184 0 obj <>stream HVn8}W#$J6 .nP>(})++w8d;@!g朹p$(n!-"saY sI, r.4.ZD~}uw͛w7h/(H(JOs' `y~ 3(]R:IEeT%[B<˘m ҮWp_Wϰ X=U;(% voٞ1"CnE\z[mt'XI7tF;ۅ{᠃l]~GFnQ#yȜ,]QŒ0]Ý>stream HVN@}WnUO!RZ%!T(SBChwv@>U2sswVARL@i({#glVx1v7toJ?ј SFY|,z;bfkp|\n/*T,6C5NnM%&Ճ^ :}S Ya5Ǟlu:Y42Lq֠UҟhK<\bjTcP5.":/GѭNJHzq@iFVOS^R4 Ռr~W2wI5]54a_n6vCk d&TH#TՍ?ic{~ivx8b/yxK٠K뛪^|!CHn7촡w7Ȼ9Nh9촏q!eR!VoF5$TH "Xz endstream endobj 186 0 obj <>stream Hn84hE/\t@\4Er큗(/6`Qy~xpLRrq.43'8f7c$wLx+6ɷ.wwMns6Md:mU>SFeLn?=:+)<N,,_m8DxH PgL߱畎+ʳʱU:sa#'͜ʥ""*}Դ3d>ϱႹ,>stream Hj@ ZaTB.r6^4遺Pك,;_HV|;{g04W\eQxN Q( 95̯_]C8== Io^T/ %}j< MˬAj>7j5_BSTQc!J%: 7h7ʸoBZ)r!]e>^5'T.zW+~&UjUU)t1kȻ}K)=Y6nHbKwar AQLjysau};|x wڷ5szCq;zGV Ե \:z+kcaL!_3w}cL[ICg#wu,gVrrl<;e1yeM"x )[GEF{n%ʦJ@LXo]ƹ4EC8bq6P8e f*9^R&CT"7y2%Ø B ,JҀf.%ZvB C䈓v;ty79:RԑU Ls YZF|hu0I X3'3?hn:Dz.Ke {.aK&9}6gRhX߾g0$_0~c<ukaܭAy.,<ݷE7,f 3cE|ҳм|^@9뀳@Ym@>$&@؀W{ړc[HQѶq0!iH3 }輘ɩ1<8I8b}l8?A endstream endobj 188 0 obj <>stream HYo0)qv|=@*!D[i- ķg쮲yƿbT @ Z! tju:j} ''4]hM ZAw7|Ძ+@(ICZh }"xS}0&Ahg$%`vC="Pf_s|1Cb:FS6eʒ[wK3b 1Л՟_}}нbAL2J n˂4_ez)d,ͮ0fŽr2d[AK8g9Gs~4uQM'-13CRElZ)6ޒ$1X+R5;*v*N* ՗GJxe\7)Wa0E: aۘ|aK/e#q#')^ MCc4iV8?AkJ[(P~ycȲGiE`{QƠyt,DƨͺnI_r>pЭq/5 z&e{TXU-]zyfe)[eyxE#7^y+ k󼊽zɵc6ETYٵ d d?^ag*+~H勃 Q̆$/(3(3w\nIJ8~fr|y^XJMqOG|&iP¼ ;(m<֦,nVf}Wnc&~C`{htC &5 endstream endobj 189 0 obj <>stream hޜwTTϽwz0z.0. Qf Ml@DEHb!(`HPb0dFJ|yyǽgs{.$O./ 'z8WGбx0Y驾A@$/7z HeOOҬT_lN:K"N3"$F/JPrb[䥟}Qd[Sl1x{#bG\NoX3I[ql2$ 8xtrp/8 pCfq.Knjm͠{r28?.)ɩL^6g,qm"[Z[Z~Q7%" 3R`̊j[~: w!$E}kyhyRm333: }=#vʉe tqX)I)B>== <8Xȉ9yP:8p΍Lg kk Ѐ$t!0V87`ɀ2A. @JPA#h'@8 .: ``a!2D!UH 2 dA>P ECqB**Z:]B=h~L2  5pN:|ó@ QC !H,G6 H9R ]H/r Aw( Q(OTJCm@*QGQ-(j MF+ 6h/*t:].G7Зw7 Xa<1:L1s3bXyeb~19 vGĩp+5qy^ oó|= ?'Htv`Ba3BDxHxE$Չ"XAP44077&9$An0;T2421t.54ld+s;# V]=iY9FgM֚k&=%Ō:nc1gcbcfX.}lGv{c)LŖN퉛w/p+/<j$.$%&㒣OdxTԂԑ4i3|o~C:&S@L u[Uo3C3OfIgwdO|;W-wsz 17jl8c͉̈́3+{%lKWr[ $ llGmnacOkE&EEY׾2⫅;K,KhtiN=e²{^-_V^Oo§s]?TWީrjVQ=w}`嚢zԶiו8>k׍ E  [ly邟~_Y53rW򯎼^{7so}x>|쇊z>yz endstream endobj 1 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 1/Tabs/S/Type/Page>> endobj 2 0 obj <>stream HWmoܸKTp±78goH ǎcER%j|晙gnZjґҎ:AZ4ԑۅ5ԈӂKE'xoT+rNi qs{Eouv%.5RZ ΨD/ ۴K,jpߞ1'lV}j/zq`62I 5 b8霑bk0(1m,?.~ !-B/9 .P&k'?d4eCyĞƍq$N> _xᇃ^F~5#?A+a94x[=|UyuuY_o>!?һ<&l*Eg"ߋϰR!BP^`wWV{{{`zJ*>Gvۅd i ҡ񕀃5;,;=. <{IIlBqj0@%_9xF.@2JZ#//4I FPH&=,'8y'ɬ#6*sxHnᡬ GpquczrJE#DH/uVݕ %i1ABBsΗ@^rUxcXV\V^Rr8MR] m-sm qi$LƓ9ژ%>Mr :)m3n,xȋcezd V&cXgEJ۩'d̋.Q|uEuw%W\|K(|]EN֜Wūs:upL!)"WÍCEiFƮstzEA> asYh).47~v1¦ cr\ꦖ~>o}m* }İU[3 6C"Csz :C2"0ϟ~0t7YjM fx=0Ky޸Fa,3 p%8IpwE< %HeZ<㓏[sK5hl[yK LE YreͮfGfE$34UBGfW$3}s\UdLbO1@s"Q1b8Fcj Ns|-Do+9tD{u<⍇! ا< o{DlZ쥘U%"LGyDNQl ihϷ__BWz\E|so& e\p)i}k4v";]Vm|aoMr)!&SKH)b.t"؍N DN&oX؃'w+ݓ5Y0Roϖ}犻74 @9?ߙ fvD:uA |#AiKOwubtoGhY5$b@CݴPkFt!UPOb 3^,P+@hD&LWӼg´M\+EN I&v6kr!чLNA CGkDkJn}2Yc} 3Qɒډda(LXKn1ŕ^ y-HњU zk4Zl. m'04?Y1 Z.Jv& Lwar@/5)$` T-V8(0ad9692oBғ?ҨgOKAG6#Ӯg݀ts u蟌9 ќ >SuY!.G4SiJ!NSz|}z+9}Vuu-\b0) =܅7 B{gAT#x d kJ^-2饟a5$>VTO }&hV4}.IrMw zⵋLQ`Ij䬆buu h HvˠiQaz 0~=lV:j6Yzl1b-H?)"^1zy:vZ8-wi^vW%JPh@6,!k$,kNANy@y;x:YZΈ/ u=R̳HaRKy em 2N~`S848.9 S8`"^GR CQPd.at-"MVKe}DRe 1UA~ba=^4V?OL K<.G֮:}F^gG5V'žHUOk `_ ^SDL׈jJ#1MK`bSS><: ^ Qي~>1}L*顀w[(r1Ws\t̕6迲@T ҿRpX(WW"윁 ?vvg޼yb0D8C\]-ٛ@igLUî\V-P3Ӈ<).IEѢ K.!dq^ '7ҺRP\:y#*̧rCO| i5 Q#RFMhJO"'5g 0 7'Mz -D(O&O-%G3ZA |d])n$TMَ8[򭒭`BO$DahJOX< X(ܖ%W#fU,KTi$~%94{:xg{nOmq ?M:\ö8#Z&˫P8LنThfC^K?OyOmd}ٳz~/Ȧ ?Wk)q/ᚫVvU7d3Zu5\3i&.Kyh\'w[˜l3ꮀ'xíyŋA(w3s%ґ̑ajӮVb< ,=3"1$EB|RHfWieQ2+˲L;JR{ Y~Cn_fBa_Bi;qy{dDz#_a%_m>ƴʰ,gu9|G#<~tw_ajKo(]1Fb_V譖xڵaZ/YE Pv]IC{öyO۱fw\sa C$0>nD%>CrDz`I{=ӪR5}Sf/Ii 39>7'&}ÔLu57 f$< 2E *J86] ߎ K38Uz: d3@P"m U.c"@8P.ֆu-~lxax$G&Y !, 9:Gm(aTrD,ɓI햭A kwkDZGw<-JT} Ro J\A(+$ FѮk+dF*VD6`DED*SQ =~Y E';oǾ}As\3_HI+iiZje*bx4/Qìb )\"| iX#|]D ;]Dv'zރp CUuaFL7/3HZBrY.Di̻k@-^p>F)b%Lq 恇mR;,JX צ/HtKl۬(z{~k{PLVaUK}L ͪlb.xQyT5Zv=QgR̙ܼ8%A`Zܠ``]Re_sN>pwS3-dZxڿ[݌p{,H߃ 8} G >!%?8 yjF`|sfr!3n81P=Ltgzeb?j36rZ[ >i+E*̊ѴE 6&mLNSCT u*ukN=Cvg#Î7GhV߳5 \3n7[vԡsb9"͐Rч1UQSQQypCwj4lDJ2eV+HpBnHKm@6NR%Zq4ޱZWXv1h1H|P00kcj?l&W^.άykp). {;R@;yg JmvVdGx]Q!-_[uU+X=lM}ܬ(>ҶƞΡyw#5LL9ӥ PIg}|`.pMS/)GǏm[ݰoHЫ+2Kypu![80nSe!w[ܦ!'núkqv&sF`*aTj̺ 4qvs.f^gts%@ǡK7.unvY,h,Ӈ}?T~P%"N5-%QΨ. Q}XcʄK֦oj6 :c883"9tFPoܻPa 8 H.e]Bt\WD2ue+dn,tE&MX8 "Z8А`] $@^B_ "Szd}%B4$Lr8zv/,^2 x}Z*ɇLۼF1'af6&s>`:w045׸s⻰ʝU(gղɞ[05$Q<>Z*r1̛G!o\ě_xJ ?ID3#< AYH/S4UJ=jA3_WMo@+sD)˧MmbOMX,l m&= d}vv|·A#.N‹\rU.pɬ'[@d =&~dp{nꢏB~~uOXCi&k7 s4y*XS0h&}bo6EFrGيQqIk z'1ܦU]nஜ۴ډ)}Ǐ2? -I"d?S4hoR};߮@}xI|iP 56`.vQO(AozEif@VXQp9XfSQ Wo h4'ߡwx_/4:CQ,$:SgDSnCLv-MKo򷗺SN>:s`s endstream endobj 3 0 obj <>stream h,M @E, 7Sj"h!qc"Z Ё-ߗcs^!gYԡ%&8O,+~ ႫN)TRY3#q*:[Iiѿjidw#UxCvHcݏ95X^#D i!\j$+B_ endstream endobj 4 0 obj <>stream h24R0PwJ,Nu+K-JIK,ILwKOKs+΄2K3A:]R2 J $BU&T lexfJIFq)-BS,ffh"Dif`e 3=F Ɩ&vvPO endstream endobj 5 0 obj <>stream hYn7K' E?6Qv\?p9+Hk,p9rR(+B9 -Ea* ,;xq+:0LR v:4Lq)4 IP@GH~ L(@H# n SZ-LЁ`dty81 DYꈮXExI)QBM^ tHtV q IdS \ā& *99t^xx/]ApxE^L+]Cg=R:J^–tA!]* ]g]2:RctHAёlbzK]E8 IB^BX+09IA1R`4Wr|H- >ć?ʠóݰ0ڤܴ<(`0]lXD*xT%jY*%20QmǷz475g8)Cf9dF1c`09 F`08 &`0dU{Rdy;}C|iȟ>W}9k|v'c?[wMnWcar܀wi'O~+>of0kk8c}pi?s e>jSBu0_tMyOP.aA{g_|wQUQx;ud kLs MM`˗p5a!R.ll6vU+Տ5{6  7S[XBaګߪգ) . endstream endobj 6 0 obj <>stream hެWN1[BH*mQC5V*35@6#̙w=##ł&6SV"|X3(EF);@9a=0 I"B"mB*PeJD9 `VxpT~Y֜:иѫyE'aҌy (gǨƺ,I9\W,THsYI.xJ!8QV/pULu̱d B}g09C5CŀYB :*Bs-g00Ws&A,^{F'#2:<N=ҝںq]o;\a&wO~1ww~q=Soz'vy MIlfFRU˽GI% V6h(c^xRV1xcnvccn1vi=Rޗgk[ڳՄOZ ^p2U{KŶX endstream endobj 7 0 obj <>stream Acrobat PDFMaker 9.0 for Word 2012-11-28T15:29:20-05:00 2012-11-28T15:28:52-05:00 2012-11-28T15:29:20-05:00 Acrobat Distiller 9.0.0 (Windows) application/pdf administrator Visiting Medical Student Health Form uuid:dcb041a9-1caf-4bf6-8fbc-03511e0f77d5 uuid:7cca0354-37e8-4ed0-9a8f-7d86f3e5dbb3 3 SUNY Downstate Medical Center D:20121128202842 endstream endobj 8 0 obj <>stream h247U0Pw/+Q0L)64)XʂTb;;;? d endstream endobj 9 0 obj <>stream hdAK@2fb4R( K٩Lvd2]QyߛW\"_Mzd|(Ҩk}gG`ƨJt[g W*JW–3kg?Ա_¶4 ,c &o8wΞp:0}4[Äҁ0QuՕ3i_ZBw{=†e0_ endstream endobj 10 0 obj <>/Filter/FlateDecode/ID[<1A740A95BB443EAC13E439A3184D44D7><0254957E7A6621458895352DD1017C25>]/Info 176 0 R/Length 75/Root 178 0 R/Size 177/Type/XRef/W[1 2 1]>>stream hbb&F L @Bj"؁O $M=PTEN00#`;L n endstream endobj startxref 116 %%EOF