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Term
nipithë ėthë miktthéwiyen
Translation
employment [where do you work at?]
Term
nipithë ėthë dbéndagwzëyen
Translation
Tribal affiliation [where are you enrolled at?]
Term
ga wawabdêk
Translation
witness [the one who watched]
Term
bégednëgét
Translation
authorized by [the one who allows things]
Term
wgetsimen
Translation
h/s parent(s)
Term
penothé
Translation
child
Term
nithë ėnwémet
Translation
relationship to patient [how are you related to h/s?]
Term
wénithë wa wabthegazet
Translation
patient [who will be seen?]
Term
nithë ngom ė yawêk
Translation
date [what is it today?]
Term
maktthéwit wdazhdéyakwpi’gën
Translation
signature of PHS staff [signature of worker]
Term
yazhdéyakwpi’gén
Translation
signature of patient [make your mark]
Term
wénithë da shëgnongot
Translation
emergency contact [who should be called?]