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Version 4.0VITATOPS Followup Data Form (5 years) Please use a black pen & BLOCK PRINT IN CAPITALSCentre and Patient Details: Date of Randomization: / / Type of Followup (e.g. postal, clinic, GP visit,

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Austria - 5 year typically refers to a specific five-year period for reporting financial or tax information required by the Austrian government.

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