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Entered: _ _ / _ _ / 20_ _Initials: ___Verified: _ _ / _ _ / 20_ _Initials: ___For office use only. Discharge (DS) Version 08/28/2006 FORM Patient ID __ __ __ __ __ __ __ __ __ __ __ __Form Completion
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Entered 20 initials verified is a process where individuals are required to verify their initials or signature on a document or form.
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