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CD-1 - Missouri Department of Health and Senior Services
DISEASE CASE REPORT. IF THE CONDITION REQUIRES IMMEDIATE PUBLIC HEALTH INTERVENTION, OR IS SUSPECTED OF BEING A DELIBERATE ACT, OR. PART OF AN OUTBREAK,
CONSENT FORM FOR CASE REPORTS. For a patients consent to publication of information about them in a journal or thesis. Name of person described in article
If the case report involves more than two (2) suspect products attach another copy of Form FDA be reported to FDA if it involves a communicable disease.
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