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BARIATRIC MAX REFIT BACK ORDER FORM REV.04 Account Information Page 1 of 1 2950 20140930 13:19:00 Order Date: Account #: P.O.# Business Name: Phone: Ship to Address: Fax: City: Province: Contact:
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Bariatric max turefitt back is a form used for reporting on bariatric surgeries and procedures.
Healthcare providers and facilities that perform bariatric surgeries are required to file bariatric max turefitt back.
Bariatric max turefitt back can be filled out electronically or manually with the required information about bariatric surgeries and procedures.
The purpose of bariatric max turefitt back is to report details of bariatric surgeries and procedures for data collection and analysis.
Information such as patient demographics, type of bariatric procedure, date of surgery, and outcomes must be reported on bariatric max turefitt back.
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