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TEAR OFF THIS FRONT PAGE ONCE ABSTRACTION IS COMPLETED DO NOT DATA ENTER THE INFORMATION CONTAINED IN THIS BOX Participant Name: Physicians Name: Hospital/Clinic: Teleported ART Date: / / Date of
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First, gather all the necessary information such as your name, address, phone number, and any other relevant details.
02
Locate the tear-off section of the front page, which is usually found at the bottom.
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Carefully fill in the required fields with your information, making sure to write legibly and accurately.
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Double-check your entries to avoid any mistakes or missing information.
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Once you have completed filling out the tear-off section, detach it from the main front page by tearing along the perforated line.
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Keep the tear-off section in a safe place for your records or submit it as instructed.

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Tear off this front is a section of a document that is designed to be detached for further processing or completion.
The individual or entity specified in the document instructions is required to file tear off this front.
Tear off this front can be filled out by following the instructions provided on the document and completing the required fields.
The purpose of tear off this front is to collect specific information or data that needs to be separated from the main document.
The information required to be reported on tear off this front will vary depending on the document, but typically includes personal or business details.
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