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FAMILY NAME MAN GIVEN NAME Facility: D.O.B. / / MALE FEMALE Nil known Drug (or other) SMR6 DATE Assess pain both at rest (record as R) and with relevant movement (record as M) e.g., deep breathing
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Who needs address ketamine infusion smre-i6a:

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Individuals who require ketamine infusion therapy as part of their medical treatment.
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Address ketamine infusion smre-i6a is the location where ketamine infusion therapy is administered.
Medical professionals or facilities providing ketamine infusion therapy are required to file address ketamine infusion smre-i6a.
Address ketamine infusion smre-i6a should be filled out with the accurate location details where the therapy is provided.
The purpose of address ketamine infusion smre-i6a is to provide a record of the location of ketamine infusion therapy services.
The information reported on address ketamine infusion smre-i6a should include the complete address and contact details of the ketamine infusion therapy location.
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