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Tissue Archive Service (Doan Hall, Room 354) Diagnostic Tissue Request Form Clinical Trials Department of Pathology Person filling out this form:___Phone number:___Department:___Date: ___ Fax Number:
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Obtain the Ohio State Wexner Medical Center form from the official website or admissions office.
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Patients seeking medical services at Ohio State Wexner Medical Center.
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Those applying for specialized programs or clinical trials offered by the medical center.
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The Ohio State Wexner Form is a specific document used by the Wexner Medical Center at Ohio State University for various administrative purposes, such as patient intake, consent forms, or data collection.
Individuals or entities involved in medical services, research studies, or patient care at the Ohio State Wexner Medical Center may be required to complete this form.
To fill out the Ohio State Wexner Form, individuals should follow the instructions provided on the form itself, ensuring all required fields are completed accurately and providing necessary documentation as needed.
The purpose of the Ohio State Wexner Form is to ensure proper documentation, compliance with medical protocols, and communication of essential information for patient care and institutional requirements.
The specific information required may vary, but typically includes personal identification details, medical history, consent for treatment, and any relevant clinical information.
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