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About Pectus Defects
 
Exercises
 
Updated 7/7/08
Join the Pectus Listserve to chat with others affected by pectus defects
 
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Please fill out the form below and we will send you more information.

First Name:
Last Name:
Street:

City:
State:
Zip:
Country:
Phone:
Cell Phone:
E-mail :
Age:

Height: 
Weight:

Form of Pectus:

Check all that apply.

Age pectus first noticed:
Years Old
Current Status of Pectus:



Haller Index (if known):
Location of defect on chest:

Left    Center   Right

Upper Chest   Middle Chest (nipple line) Lower Chest

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