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CLEFT CARE UK 20102012Study number:MEDICAL PHOTOGRAPHY FORM A1 ID Number A2 Name A3 Date of Birth / / dd/mm/by A4 Hospital Number A5 Today's date/Place for Cleft identification sticker if available/Facial

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How to fill out medical photography form

01

Read the instructions on the medical photography form carefully.

02

Fill in your personal information accurately, including your name, date of birth, and contact details.

03

Provide your medical history, mentioning any relevant conditions or surgeries you have had.

04

Include the date of the photography session and the purpose of the photographs.

05

Specify any specific requirements or instructions given by your healthcare provider.

06

Sign and date the form once you have completed filling out all the necessary information.

Who needs medical photography form?

01

Patients who are undergoing medical treatments or procedures may need to fill out a medical photography form.

02

Healthcare professionals who require visual documentation of certain medical conditions or progress in treatment may also need this form.

03

Medical researchers or institutions conducting studies or clinical trials might ask participants to complete a medical photography form.

04

Insurance companies or legal professionals involved in medical claims or litigation may request individuals to provide medical photographic evidence through this form.

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