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MEDICAL RECORDCHRONOLOGICAL RECORD OF MEDICAL CARED ATE PRIVACY ACT STATEMENT: This information is subject to the Privacy Act of 1974 (5 U.S.C. Section 552a). This information may be provided to appropriate
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Step 1: Obtain the form 196 surveillance examination.
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Step 2: Read the instructions carefully to understand the requirements and purpose of the examination.
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Step 3: Fill out your personal information accurately, including your full name, address, and contact details.
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Step 4: Provide the necessary information about the surveillance being conducted, such as the location, purpose, and duration.
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The 196 surveillance examination is typically needed by individuals or organizations involved in conducting surveillance activities. This may include private investigators, law enforcement agencies, security firms, or other entities authorized to monitor and gather information for legal or legitimate purposes.
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