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R×PO104×r PROVIDENCE HOSPITAL 6801 Airport Boulevard, Mobile AL 36608, 251×6331000 PO1004 CHEST PAIN CENTER PHYSICIANS ORDERS Boxed items are optional & must be marked to be ordered Shaded areas
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Boxed items that are optional are items that are not required to be filled out or included, but are provided for additional information or context.
No one is required to file boxed items that are optional. They are only filled out if needed or if the information is available.
If you choose to fill out boxed items that are optional, simply provide the information requested in the box or fields provided on the form.
The purpose of providing boxed items that are optional is to give individuals the opportunity to provide additional information or context if they choose to do so.
There is no specific information that must be reported on boxed items that are optional. It is up to the individual filling out the form to decide what information, if any, they want to include.
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