Written Informed Request Form

  1. Law
  2. Indiana Code
  3. Health
  4. Regulation of Food, Drugs, and Cosmetics
  5. Drugs: Use of Amygdalin (Laetrile)
  6. Written Informed Request Form

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Sec. 5. (a) The written informed request must be on a form prepared by and obtained from the medical licensing board of Indiana and must be in substance as follows:


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