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Multiple Sclerosis Ask “Rx pert underwriter (ask our experts) Producer Phone Fax Client Age×DOB Sex 1. Please list date of first diagnosis. 2. Please indicate the number of episodes and date of
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Multiple sclerosis is a neurological disease that affects the brain and spinal cord.
Patients diagnosed with multiple sclerosis may be required to fill out quotrxquot for treatment.
Patients can fill out quotrxquot with the help of their healthcare provider or pharmacist.
The purpose of quotrxquot for multiple sclerosis is to document the prescribed medications and treatments.
Information such as the medication name, dosage, frequency, and prescribing healthcare provider must be reported on quotrxquot for multiple sclerosis.
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