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The document is NRC FORM 313A (AMP), which is a regulatory form from the U.S. Nuclear Regulatory Commission for the attestation of training, experience, and qualifications of Authorized Medical Physicists or Ophthalmic Physicists. It outlines the requirements for obtaining authorization to use specific medical devices and procedures involving radiation, including details on training, supervised experience, and preceptor attestations necessary for compliance with federal regulations.

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