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Get Hfs 2390 2005-2024

Or the patient named above at on . Location (Name, City) Date The abortion was performed because: (Check one code only) Surgical The abortion was necessary due to a physical disorder, injury or illness, including a life-endangering physical condition caused by or arising from the pregnancy itself, that would place the woman in danger of death unless an abortion is performed. The recipient reported that the pregnancy was the result of rape. The recipient reported that the pregn.

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