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Get 719k 2002 fillable 2017-2024

Ctitioner III(a) Applicants must report their relevant medical conditions to the best of their knowledge. Applicants should check YES if: 1) they have had a previous diagnosis, or treatment for the condition by a health care provider; 2) they are currently under treatment or observation for the condition; or 3) the condition is present, regardless of treatment status. III(b) The Medical Practitioner must review and discuss all conditions reported by the applicant in Section III(a). The Medical P.

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