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Click ‘Get Form’ to open the Standard Form 507 in the editor.
Begin by filling out the 'Patient's Identification' section. Enter the patient's name (last, first, middle), grade, date, and the hospital or medical facility. Ensure accuracy for proper record-keeping.
In the 'Register No.' field, input the unique registration number assigned to the patient. This is crucial for tracking and referencing their medical records.
Next, specify whether this is a report on a new examination or a continuation of a previous one by striking out the appropriate line. Clearly indicate the type of examination or data being reported.
Finally, sign and date the form at the designated area to validate your entries. If necessary, continue on the reverse side for additional information.
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by R NO Cited by 1 507-109. Report on or. Continuation of S.F.. (Strike out one line) (specify type of examination or data). (Sign and date). MEDICAL RECORD. NSN 750-00-634-4120.
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