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APPENDIX D Sample Forms Short Form Intake History and Physical ExaminationPATIENTS NAME DATE CC: Opiate abuse history: Yrs/mos of use. Type of use. Current run of continuous use. Amount of current
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Appendix J sample forms are templates provided by the regulatory body for reporting specific information.
Entities or individuals specified by the regulatory body are required to file appendix j sample forms.
You can fill out the required information on the provided templates following the instructions given by the regulatory body.
The purpose of the appendix J sample forms is to collect specific data or information for regulatory compliance.
The information that must be reported on appendix J sample forms is specified by the regulatory body.
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