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C.M. Farina, Nutrition Prescription Referral Patient Name: Date of Birth (DOB): Prescription Order for Nutritional Assessment and Consultation: C.M. Farina, LLC www.foodnyou.com 5054382886 Carole

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The bmt-allo-patient-education-guide is a document designed to educate patients about allogeneic bone marrow transplantation and hematopoietic stem cell transplantation processes.

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To fill out the guide, patients should follow the provided instructions for documentation, ensuring all personal and health-related information is accurately recorded.

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The purpose is to inform patients about the transplantation process, potential risks, benefits, and post-transplant care.

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Patients must report their medical history, consent to treatment, and acknowledgment of the educational material provided.

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