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2%  
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Keyword: medicalform

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  • VANITY: Dental Information Form is a DEA form?

    09/19/2013 5:32:18 PM PDT · by who_would_fardels_bear · 25 replies
    I was recently asked by my dentist to fill out an on-line patient history so they could go paperless. After spending a bunch of time filling out a bunch of very detailed information I get to the last page and read this: WARNING: 21 USC 843(d), states that any person knowingly or intentionally furnishes false or fraudulent information in the application is subject to term of inprisonment of not more than 4 years, and a fine under Title 18 of not more than $250,000 , or both.By typing my full name in the space below, I hereby certify that the...