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Treatment of fracture Date of initial treatment s General anaesthetic s Reduction of dislocation s Other s Telephone advice only s up to 15 days s over 15 days s Amended claim Contraceptive services s non-IUD s IUD Number of night visits Dental haemorrhage s Rate A Number of vaccinations immunisations fee A fee B s Rural practice payment. Distance in miles from patient s temporary residence to my main surgery is I declare to the best of my belief this information is correct and I claim the...
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