This government document is issued by Lincoln University for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=b4a23add2b39b781a&q=https://www.lincoln.edu/student-life/health-and-wellness/health-services/History-and-Physical-2022.pdf&sa=U&ved=2ahUKEwiCxJDqreeFAxWIxgIHHVHKArw4FBAWegQIBBAB&usg=AOvVaw1D-E3dZ-PCDpP0vKUHqERc&arm=e