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Get Non-pregnancy Statement - Advanced Diagnostic Group
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How to fill out the NON-PREGNANCY STATEMENT - Advanced Diagnostic Group online
Completing the NON-PREGNANCY STATEMENT is an essential step before undergoing diagnostic imaging. This guide provides clear instructions on how to accurately fill out the form online, ensuring a smooth process for yourself and the healthcare providers.
Follow the steps to complete your NON-PREGNANCY STATEMENT online.
- Press the ‘Get Form’ button to access the NON-PREGNANCY STATEMENT document and open it in the designated online editor.
- Begin by entering your name in the first blank space provided, affirming your understanding of the statement.
- Fill in the date of your last menstrual cycle in the space indicated. This information is important for the healthcare provider.
- Indicate your breastfeeding status by selecting either 'Yes' or 'No' in the corresponding boxes.
- Sign the form in the designated Patient Signature area. If you are a minor, a parent or guardian must sign on your behalf.
- Enter the date of signing in the designated space under the signature.
- If required, ensure a witness signs in the Witness area.
- Review your completed form for accuracy and completeness before proceeding.
- Once satisfied, you can save the changes to your form, download it for your records, print it out, or share it as needed.
Complete your NON-PREGNANCY STATEMENT online today to ensure your diagnostic process is handled swiftly and efficiently.
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