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NYU School of Medicine IN-ELECTIVE REQUEST FORM PLEASE TYPE OR PRINT CLEARLY. ATTACH ADDITIONAL SHEETS AS NECESSARY. Visiting Resident1: You must complete numbers 1 through 22.e. and the Visiting
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in-electiverequest 82411doc - webdoc is a form used for requesting elective procedures.
The healthcare provider or facility performing the elective procedure is required to file in-electiverequest 82411doc - webdoc.
To fill out in-electiverequest 82411doc - webdoc, the healthcare provider needs to provide details about the elective procedure, the patient, and any relevant medical history.
The purpose of in-electiverequest 82411doc - webdoc is to ensure proper documentation and approval for elective medical procedures.
Information such as the patient's name, procedure details, medical history, and any necessary authorizations must be reported on in-electiverequest 82411doc - webdoc.
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