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By completing and submitting this form, I attest that the information provided on this application is true and accurate and that the required documentation is current, accurate, and attached hereto. I also expressly acknowledge and understand that certain preparations, including peptides and other compounds, may be research/clinical use only compounds that are not FDA-approved or may not be FDA-approved for all intended uses. I assume full responsibility for any application and use of such preparations in patient care. I have independently verified the regulatory status of each preparation intending to use and understand the legal implications of using such preparations in practice. I further acknowledge that there are no representations or warranties regarding the regulatory status or permissible uses of said preparations beyond those explicitly stated in preparation documentation.
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