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E 6 Bronchiectasis (not cystic fibrosis) 17 Paediatric cardiac disease 7 Pulmonary malignancy 18 Cluster headache 8 Palliative care 19 Other primary respiratory disorder 9 Non-pulmonary palliative care 20 Other (specify) 10 Chest wall disease 21 Not known 11 Neuromuscular disease Guidance notes for prescribers Ordering This form is a prescription and must be completed by an authorised prescriber. Any forms completed by a healthcare professional who is not a qualified presc.

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