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CONSENTTOOPERATIVEPROCEDURES
1. IherebyauthorizeDr. VikasMerchiaandassociatesandsuchassistantsashe/shemaydesignatetoperform
thefollowingoperation:Laparoscopytuballigationwithfulguration/falterings/Hulkaclips/resection
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Use of multiple clips can be filled out by providing details of each individual clip used in the video.
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The purpose of use of multiple clips is to ensure proper attribution and licensing of each video clip used.
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Information such as the source of each clip, duration used, and licensing details must be reported on use of multiple clips.
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