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FOR OFFICE USE ONLY Patient Name: Is the patient currently pregnant? YES NoDoz: Tech Initials: BREAST SURGICAL HISTORY INDICATE DATE (MONTH/YEAR) OF EACH INCIDENT AND WHETHER BENIGN (B) OR MALIGNANT
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For office use only is a designation placed on documents or forms to indicate that the information contained within is intended solely for internal use within an organization.
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The purpose of for office use only designation is to restrict access to certain information within an organization and ensure that sensitive data remains confidential.
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