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Occupational Medicine at MCCHMedical Arts Building 300 S. 8th Street Suite 376 W Murray, KY 42071 Phone: (270) 7621526 Fax: (270) 7621529 Tax ID # : 610620667Consent Form Patient Printed Name:DOB:Patient
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Obtain a copy of the consent form from the appropriate source.
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Read the form carefully to understand the purpose of the consent and the information needed.
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Fill out the personal information section accurately, providing your full name, address, contact number, and any other required details.
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A consent form - murray is a document that grants permission for a specific action or activity.
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