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Oregon Health & Science University Hospitals and Clinics Otolaryngology Clinic ACCOUNT NO. MED. REC. NO. OC4501 *OC4501* NAME BIRTHDATE HEAD AND NECK SURGERY PATIENT QUESTIONNAIRE Patient Identification

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oc4505doc - ohsu stands for Occupational Disease Reporting Form for Oregon Health & Science University.

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Information such as the employee's name, contact information, job title, type of disease contracted, date of diagnosis, and details about the work environment must be reported on oc4505doc - ohsu.