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The Art and Science of Dermatology HISTORY FORM Date of Visit: Allergies: Name: For nurse only: Sent at request of: Age: DOB: Sex: Stab Pt New Pt Race: PCP Pregnant? No Yes / #weeks Trying to get

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1. Individuals applying for grants or funding related to art and science projects.
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5. Artists and scientists who want to document their work or projects.
6. Curators and museum professionals who need to collect information for art and science exhibits.
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What is form art and science?

Form art and science is a document that combines aspects of both artistic expression and scientific analysis.

Who is required to file form art and science?

Individuals or organizations involved in the intersection of art and science may be required to file form art and science.

How to fill out form art and science?

Form art and science can be filled out by providing information about the artistic and scientific components of a project or research.

What is the purpose of form art and science?

The purpose of form art and science is to document and analyze the creative and analytical processes involved in art and science projects.

What information must be reported on form art and science?

Information such as project goals, methodology, results, and impact may need to be reported on form art and science.