Medical Patient Consent Form
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Business Negocio Health Salud medical médico patient paciente Name Nombre Consent Consentimiento Forms Formulario Indian indio Simple Medical Consent Forms Formularios de consentimiento médico simple
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No.: Patient’s Registration number: Title of manuscript: Name of authors (Only two): Corresponding author: (With E mail) --------------------------------------------------------------------------------------------------------------------To be signed by the patient I hereby give my consent for image(s) and clinical information related to me to be reported in the Indian Journal of Medical Research (both in print and electric edition)..
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