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National Occupational Respiratory Disease Registry – Patient notification questions
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Publication date:
Last updated:
Publication type:
Form
Audience:
Health sector
Language:
English
Description:
This form collects information on individuals with an occupational respiratory disease for entry into the NORDR.
This document has demographic and lifestyle questions and questions on the individual’s work history of exposure to hazardous substances that may have caused their respiratory disease. The individual’s physician will use the information supplied here to enter the respiratory disease into the registry.