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Name MAN DOB Date Telephone W MPharmacyName Telephone did you hear about us? Sent by another physician (If so, please give name below.) Sent by a friend Internet search UT and/or TSI reputation Other
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The term 'sent by anoformr physician' typically refers to a medical report or documentation required for a specific purpose, often related to patient care or legal matters.
Healthcare providers or physicians who are involved in the patient's care and have the necessary information are required to file the report.
To fill out the report, the physician should provide accurate patient information, medical history, and details pertinent to the purpose of the report, ensuring all sections are completed as per guidelines.
The purpose of the report is to communicate vital health information, assist in patient management, and ensure legal compliance if required.
The report must include patient demographics, medical history, diagnoses, treatment details, and any other relevant clinical information as required by regulations.
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