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Page 1. STATEMENT OF MEDICAL NECESSITY: (Please Attach All Medical Documentation). ? 30mcg Prefilled Syringe. ? 30mcg Single Dose Vial.
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Multiple sclerosis is a chronic disease that affects the central nervous system, particularly the brain and spinal cord.
Patients diagnosed with multiple sclerosis are required to report their condition to the appropriate authorities.
Patients can fill out the multiple sclerosis form by providing relevant medical information and personal details.
The purpose of the multiple sclerosis form is to track and monitor the prevalence of the disease in the midtown area.
Patients must report their diagnosis date, current symptoms, treatment plan, and any other relevant medical information.
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