%PDF-1.4
%
1 0 obj
<<
/Producer (Acrobat Distiller 5.0.5 \(Windows\))
/Author (*)
/Creator (\376\377\000W\000o\000r\000d\000 u\(\000 \000A\000c\000r\000o\000b\000a\000\
t\000 \000P\000D\000F\000M\000a\000k\000e\000r\000 \0005\000.\0000)
/ModDate (D:20020130174623+09'00')
/Title (\376\377\000A\000t\000t\000e\000n\000d\000i\000n\000g\000 \000P\000h\000\
y\000s\000i\000c\000i\000a\000n \031\000s\000 \000S\000t\000a\000t\000e\000\
m\000e\000n\000t)
/CreationDate (D:20020130174614+09'00')
>>
endobj
2 0 obj
<< /Type /Metadata /Subtype /XML /Length 1072 >>
stream
Attending Physician’s Statement
endstream
endobj
3 0 obj
<<
/Type /Page
/Parent 11 0 R
/Resources << /ColorSpace << /CS0 10 0 R /CS1 139 0 R >> /ExtGState << /GS0 9 0 R /GS1 113 0 R >>
/Font << /C0_0 7 0 R /TT0 6 0 R /C0_1 8 0 R >> /ProcSet [ /PDF /Text ] >>
/Contents 140 0 R
/StructParents 0
>>
endobj
6 0 obj
<<
/Type /Font
/Subtype /TrueType
/FirstChar 146
/LastChar 146
/Widths [ 333 ]
/Encoding /WinAnsiEncoding
/BaseFont /FJADPM+TimesNewRoman
/FontDescriptor 15 0 R
>>
endobj
7 0 obj
<<
/Type /Font
/Subtype /Type0
/BaseFont /GothicBBB-Medium-Identity-H
/Encoding /Identity-H
/DescendantFonts [ 17 0 R ]
>>
endobj
8 0 obj
<<
/Type /Font
/Subtype /Type0
/BaseFont /Ryumin-Light-Identity-H
/Encoding /Identity-H
/DescendantFonts [ 18 0 R ]
>>
endobj
9 0 obj
<<
/Type /ExtGState
/SA false
/SM 0.02
/TR2 /Default
>>
endobj
10 0 obj
[
/ICCBased 12 0 R
]
endobj
11 0 obj
<<
/Type /Pages
/Kids [ 3 0 R ]
/Count 1
/MediaBox [ 0 0 595 842 ]
>>
endobj
12 0 obj
<< /N 3 /Alternate /DeviceRGB /Length 2575 /Filter /FlateDecode >>
stream
HyTSwoɞc
[5laQIBHADED2mtFOE.c}088GNg9w߽ '0 ֠Jb
2y.-;!KZ ^i"L0-
@8(r;q7Ly&Qq4j|9
V)gB0iW8#8wթ8_٥ʨQQj@&A)/g>'K t;\
ӥ$պFZUn(4T%)뫔0C&Zi8bxEB;Pӓ̹Aom?W=
x- [ 0}y)7ta>jT7@tܛ`q2ʀ&6ZLĄ?_yxg)˔zçLU*uSkSeO4?c. R
߁-25 S>ӣVd`rn~Y&+`;A4 A9 =-tl`;~p Gp| [`L`< "AYA+Cb(R, *T2B-
ꇆnQt}MA0alSx k&^>0|>_',G!"F$H:R!zFQd?r9\A&GrQhE]a4zBgE#H *B=0HIpp0MxJ$D1D, VĭKĻYdE"EI2EBGt4MzNr!YK ?%_(0J:EAiQ(()ӔWT6U@P+!~mDeԴ!hӦh/']B/ҏӿ?a0nhF!X8܌kc&5S6lIa2cKMA!E#ƒdV(kel
}}Cq9
N')].uJr
wG xR^[oƜchg`>b$*~ :Eb~,m,-ݖ,Y¬*6X[ݱF=3뭷Y~dó tizf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:˜O:ϸ8uJqnv=MmR 4
n3ܣkGݯz=[==<=GTB(/S,]6*-W:#7*e^YDY}UjAyT`#D="b{ų+ʯ:!kJ4Gmt}uC%K7YVfFY.=b?SƕƩȺy
چk5%4m7lqlioZlG+Zzmzy]?uuw|"űNwW&e֥ﺱ*|j5kyݭǯg^ykEklD_p߶7Dmo꿻1ml{Mś
nLl<9O [$h՛BdҞ@iءG&vVǥ8nRĩ7u\ЭD- u`ֲK³8%yhYѹJº;.!
zpg_XQKFAǿ=ȼ:ɹ8ʷ6˶5̵5͵6ζ7ϸ9к<Ѿ?DINU\dlvۀ܊ݖޢ)߯6DScs
2F[p(@Xr4Pm8Ww)Km
endstream
endobj
13 0 obj
<<
/Type /FontDescriptor
/Ascent 752
/CapHeight 737
/Descent -271
/Flags 4
/FontBBox [ -174 -268 1001 944 ]
/FontName /GothicBBB-Medium
/ItalicAngle 0
/StemV 99
/XHeight 553
/StemH 72
/Style << /Panose <0801020b0500000000000000>>>
>>
endobj
14 0 obj
<<
/Type /FontDescriptor
/Ascent 723
/CapHeight 709
/Descent -241
/Flags 6
/FontBBox [ -170 -331 1024 903 ]
/FontName /Ryumin-Light
/ItalicAngle 0
/StemV 69
/XHeight 450
/StemH 34
/Style << /Panose <010502020300000000000000>>>
>>
endobj
15 0 obj
<<
/Type /FontDescriptor
/Ascent 891
/CapHeight 0
/Descent -216
/Flags 34
/FontBBox [ -568 -307 2028 1007 ]
/FontName /FJADPM+TimesNewRoman
/ItalicAngle 0
/StemV 0
/FontFile2 16 0 R
>>
endobj
16 0 obj
<< /Filter /FlateDecode /Length 7835 /Length1 19012 >>
stream
H\UtMWϹɕIDRPRɍx'%7"EcGky2&m4,:UUǔz0FcwϗtfV;[6@ḿFVA Iyd/zdoQ^ߚX$mԴw}快H&R0~FS@"琰1џkӡ
[/4bEaqJv'QCIa;;<6YOo[F 2p,)%'#oߙ'@d P7^FV}η^=XsC7I"[,DO9na+$
pa2nbkҀxC:{fbG b;x*NbyD(b s
--Nd`,0ϫ2<,jg-6q^2iRQ[$T*usc8XDƻPT{\+/
$0[*V}^l\-|/^6HqZڗ-S1u+6DIT*
E+(cpJ2%G*.FcZ#!x"m:RXͭ;\p4N5{