div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imageimg data-url=attach-face-sheet-2020-4-29-pharmacogenetics-upx-preventative-atient-informationhtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: ATTACH FACE SHEET · 2020 4 29 · PHARMACOGENETICS: UPX PREVENTATIVE atient Information Last Name Address City Telephone: Social Security Number Date of Birth —— RaceEthnic loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader036vdocumentsmxreader036viewer20220710105fc867b39b256a474a5f0f68html5thumbnails1jpg width=140 height=200 divpATTACH PHYSICIAN STICKERp pATTACH FACE SHEETp pATTACH FACE SHEETpdiv