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Nosology / Comorbidity / Medical model / Medicine / Medical terms / Medical diagnosis


STATEMENT TO BE COMPLETED BY ATTENDING PHYSICIAN PSYCHOLOGICAL ILLNESSES 5055, Metropolitain Blvd. East, Suite 202, Montreal, Quebec H1R 1Z7  Tel :[removed][removed] Fax : [removed]Claim No: Family N
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Document Date: 2012-10-29 11:42:07

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City

Montreal / /

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IndustryTerm

rehabilitation services / /

MedicalCondition

drug addiction / drug abuse / III Associated illness / alcoholism / II Associated personality disorders / /

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Position

General Practitioner / physician / psychiatrist / family physician / counselor / General / treatment centre No Yes psychologist / CLSC No Yes social worker / /

ProvinceOrState

Quebec / /

SocialTag