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AffidavitforIntoleranceorNonCompliancetoCPAP I, haveattemptedtouseCPAP(ContinuousPositiveAirPressure) tomanagemysleeprelatedbreathingdisorder(OSAObstructiveSleepApnea)andfindit intolerabletouseonaregularbasisforthefollowingreason(s):
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Intolerable substances must not be used on a regular basis for the following reasons.
Any individual or organization that handles substances deemed intolerable must file the form for the following reasons.
The form must be filled out with accurate information regarding the substances being used and the reasons why they are considered intolerable for regular use.
The purpose of the form is to ensure that dangerous substances are not being used regularly and to provide a record of any potentially harmful practices.
Information about the intolerable substances being used, the frequency of their use, and the reasons why their regular usage is considered unacceptable.
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