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STUDY REQUEST CARD. STUDY REQUEST CARD. STUDY REQUEST CARD. STUDY REQUEST CARD. Study name: OPT II Study. Study name: OPT II Study. Study name: OPT II Study. Study name: OPT II Study. Patient name: _____________________________________.
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STUDY REQUEST CARD STUDY REQUEST CARD STUDY REQUEST CARD STUDY REQUEST CARD Study name: OPT II Study Study name: OPT II Study Study name: OPT II Study Study name: OPT II Study Patient name: _____________________________________ Patient name: _____________________________________ Participant name:___________________________________ Participant name:___________________________________ Draw two - 2 ml SST vacutainers Venous Lead CBC Affix one of the attached labels to each tube • Draw two – 2 ml SST Vacutainers • Venous Lead • CBC • Affix one of the attached labels to each tube • Draw two - 2 ml SST vacutainers • Venous Lead • CBC • Affix one of the attached labels to each tube Draw two - 2 ml SST vacutainers Venous Lead CBC Affix one of the attached labels to each tube OPT FORM 71 MAR 06 OPT FORM 71 MAR 06 OPT FORM 71 MAR 06 OPT FORM 71 MAR 06