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* Required fieldsman Fax: 8005450612Phone: 8666887674×Patient name *Date of birth *Gender Male Female *Street address *City *State *Zip *Primary phone Alternate contact name *Device/Product: Nu Spin
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What is original or stamped signature?
Original or stamped signature is a handwritten or mechanically reproduced signature on a document.
Who is required to file original or stamped signature?
The person authorized or responsible for the document is required to file the original or stamped signature.
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Original or stamped signature can be filled out by signing the document manually or using a stamp or digital signature.
What is the purpose of original or stamped signature?
The purpose of original or stamped signature is to authenticate or verify the document and the identity of the person signing it.
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The original or stamped signature must include the name of the person signing, the date of the signature, and any other relevant identification information.
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