
CERTIFICATION FORM for INDUCED ABORTION or INDUCED MISCARRIAGE I, , Certify that on the Basis of Physician S Name My Professiona


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Video instructions and help with filling out and completing CERTIFICATION FORM FOR INDUCED ABORTION OR INDUCED MISCARRIAGE I, , Certify That On The Basis Of Physician S Name My Professional Judgment, The Life Of Patient S Name Of MAID # Patient S Address Please Check Appropriate Box
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