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Name of Patient DOB Today's date Name of person completing form Relationship to Pt Pharmacy Not including use before exercise, how many times a week (on average) does your child use a rescue inhaler?
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The name of the person completing refers to the individual who is filling out the form or document.
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The person who is responsible for completing the form or document is required to fill out the name of the person completing section.
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To fill out the name of the person completing section, simply write the full name of the individual who is completing the form or document.
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The name of the person completing section typically requires the full name of the individual completing the form or document.
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