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Return form to: OR PAS Ontario Universities? Application Center 170 Research Lane Guelph ON N1G 5E2 2012 OR PAS Prerequisite Form Important Note: Do not staple this form and/or course descriptions.

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What is confidential clinical reference form?

Confidential clinical reference form is a document used to gather confidential information about a patient's medical history and treatment which can be shared with authorized healthcare professionals.

Who is required to file confidential clinical reference form?

Healthcare professionals and medical institutions are required to file confidential clinical reference form in order to ensure patient's privacy and provide accurate medical information.

How to fill out confidential clinical reference form?

Confidential clinical reference form can be filled out by providing the patient's personal information, medical history, current medical conditions, medications, and any other relevant information requested in the form.

What is the purpose of confidential clinical reference form?

The purpose of confidential clinical reference form is to gather complete and accurate medical information about a patient in a confidential manner, which can be used by healthcare professionals for diagnosis, treatment, and research purposes.

What information must be reported on confidential clinical reference form?

Confidential clinical reference form may require information such as the patient's personal details, medical history, previous treatments, current medications, allergies, and any other relevant medical information that could be useful for healthcare professionals.

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