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FAX REPLY (Please Print Clearly) Physician Name: I am interested in participating in the IMPACT AF study: Yes No Undecided (need more information) I have already viewed the Prerecorded Introductory
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Fax reply - impact-af is a form used to respond to a notice or request for additional information in regards to an impact assessment.
Any individual or organization that has received a notice or request for additional information related to an impact assessment must file fax reply - impact-af.
Fax reply - impact-af can be filled out by providing all the requested information and details in the designated fields on the form.
The purpose of fax reply - impact-af is to provide a timely and accurate response to any notices or requests for additional information related to an impact assessment.
The information reported on fax reply - impact-af may include details about the impact assessment, any requested additional information, and any responses to the notice or request.
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