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Date of Disclosure ␣␣-␣␣-␣␣␣␣ 📆 | |
Stage of disclosure *** 🔘 Pre-disclosure 🔘 Partial disclosure 🔘 Full disclosure: Stage 1 🔘 Full disclosure: Stage 2 🔘 Full disclosure: Stage 3 🔘 Full disclosure: Stage 4 | StageOfDisclosure Stage of Disclosure573f93e2 12f6-483e-aa6e-14e9b76b311a |
Notes __________________________________ | 165095AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA165095 General patient note |
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