C 4 Form

C 4 Form - Use this form to report the first time you treated the patient. The physician fills out their part of the form and. Use this form only if attaching a detailed narrative report. Use this form only if attaching a detailed narrative report. Use this form to report the first time you treated the patient.

Use this form only if attaching a detailed narrative report. Use this form to report the first time you treated the patient. Use this form only if attaching a detailed narrative report. Use this form to report the first time you treated the patient. The physician fills out their part of the form and.

The physician fills out their part of the form and. Use this form to report the first time you treated the patient. Use this form only if attaching a detailed narrative report. Use this form only if attaching a detailed narrative report. Use this form to report the first time you treated the patient.

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The Physician Fills Out Their Part Of The Form And.

Use this form only if attaching a detailed narrative report. Use this form to report the first time you treated the patient. Use this form to report the first time you treated the patient. Use this form only if attaching a detailed narrative report.

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