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Get and Sign Requestor S 2017-2022 Form

Get and Sign Requestor S 2017-2022 Form

Use a Requestor s 2017 template to make your document workflow more streamlined.

TSC Familial Acute Myeloid Leukemia AML Fanconi Anemia and DNA Repair Disorders FA NF1 Please indicate if your patient has the following Greater than 6 caf -au-lait macules greater than 5 mm postpubertal greater than 15 mm Greater than 2 neurofibromas or 1 plexiform neurofibroma Axillary or inguinal freckling Optic glioma Greater than 2 Lisch nodules A distinctive osseous lesion A first degree relative with NF1 per the above critera Does this patient fulfill NIH diagnostic criteria for NF1 Yes...
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