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Lot 36,
Jalan Universiti (Jalan Prof Diraja Ungku Aziz),
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Phone: 603-7841 3200
Fax: 603-7968 2222
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Consent Form for Treatment Using Unregistered Medicine/Indication (Off Label)
This form must be completed by a consultant/specialist/medical officers who want to use medicine/indication not registered with any regulatory body worldwide. The patient must be explained thoroughly on the medicine and give consent by signing the attached form. Copy of the consent must be kept in the patient's record.
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Forms
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