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Chemistry / Periodic table / Oxygen concentrator / Portable oxygen concentrator / Respironics / Sequal / Letterhead / Allegiant Air / Oxygen / Medical equipment / Matter


Physician Consent Form for an Individual Who Needs to Use a Portable Oxygen Concentrator (POC) During an Allegiant Air Flight (Must be completed in full by the Customer’s Physician and printed on Physician’s letterhe
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Document Date: 2014-03-18 14:38:14


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File Size: 37,70 KB

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International Biophysics Corporation / Delphi / VBOX Inc. / Oxus Inc. / Invacare / /

IndustryTerm

travel date / /

Person

Consent Form / /

Position

Physician / /

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