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MICHAEL C. CELLO, MD CINDY FED DES, FDP Authorization for use and disclosure of Protected Health Information (PHI) Patient legal name: DOB: Address: Phone: City: State: Zip: I authorize: Allergy &

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What is dicello md?

Dicello MD is a medical device reporting form used to report adverse events and product problems.

Who is required to file dicello md?

Manufacturers, importers, and device user facilities are required to file dicello md.

How to fill out dicello md?

Dicello MD can be filled out online through the FDA's website or submitted via mail or fax.

What is the purpose of dicello md?

The purpose of dicello md is to ensure the safety and effectiveness of medical devices by reporting adverse events and product problems.

What information must be reported on dicello md?

Information such as the patient's name, contact information, adverse event details, and device information must be reported on dicello md.