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Get Statement Of Certifying Physician For Therapeutic Shoes

Statement of Certifying Physician for Therapeutic Shoes Patient Name: HIC #: I certify that all of the following statements are true: 1. This patient has diabetes mellitus. 2. This patient has one.

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  2. Open it with cloud-based editor and begin adjusting.
  3. Fill in the empty fields; concerned parties names, addresses and numbers etc.
  4. Change the blanks with smart fillable areas.
  5. Add the day/time and place your electronic signature.
  6. Simply click Done after twice-examining everything.
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