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RESEARCH ASSENT FORM Use Plate or Print: MAN#:DO NOT PLACE IN MEDICAL RECORD DOB: Protocol Title: Validation of the Pediatric Sedation State Scale (PASS)Pt Name:Principal Investigator: Joseph Crater,
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Use plate or print is a form used to report the use of a particular item or equipment.
Any individual or company using the specified item or equipment is required to file use plate or print.
To fill out use plate or print, one must provide detailed information about the usage of the item or equipment.
The purpose of use plate or print is to track the usage of specific items or equipment and ensure compliance with regulations.
Information such as the duration of use, frequency of use, and any maintenance performed on the item or equipment must be reported on use plate or print.
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