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PUBLIC DISCLOSURE COPY16520209 794202 6001679.0002020.05060 SHEPHERD CENTER, INC.6001671**PUBLIC DISCLOSURE COPY** Form990Return of Organization Exempt From Income Tax OMB No. 15450047| Do not enter
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It is a template used to log and verify the signatures of physicians for various medical documentation and compliance purposes.
Physicians and medical practitioners involved in the documentation of patient records and who need to authenticate such records may be required to file this log.
The template should be completed by entering the physician's name, signature, date, and any relevant patient or document information as instructed in the guidelines provided.
The purpose of the log is to ensure accountability and provide a record of physician signatures for legal and regulatory purposes.
The required information typically includes the physician's name, signature, date of signature, and details of the documents or patients involved.
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