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I fully understand the OPAT Home IV service as explained to me I have received a patient information leaflet and would like to be registered with the Service AND By signing this document I give consent pursuant to the Data Protection Acts 1988 and 2003 and in the context of the delivery of the Service to the collection processing transferring and sharing my personal data which includes information regarding my health my condition and my treatment for the purposes set out above including a...

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Please use label is a tool or instruction to prompt the user to input specific information.

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