Page 23 - Chatham-Kent Hospice
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    Food Preferences
Food You Can’t Have
 Allergic to:
 Dietary restrictions:
Food You Don’t Like
Foods You Like
 Favourite foods:
 Typical breakfast:
 Typical lunch:
 Typical supper:
 ~ 22 ~
Apply Resident Label Here (for office use only)
  Perforated






















































































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