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NotesThisformshouldbecompletedlegiblyinblackballpointink Thepersonsfullname, NHSorHospitalnumber, dateofbirthandaddressshouldbewrittenclearly. Thedateofwritingthedecisionshouldbeentered. Ifthedecisioniscancelledtheformshouldbecrossedthroughwith2diagonallinesinblackballpointinkand
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