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A.M.I.I. East
Academy of Minimally Invasive Implantology
COVID-19 Impact Statement - V.1
This form has to be completed and submitted.
First Name
Company
Last Name
Date
Email
Have your re-opened after the Covid-19 shut down?
Please select the choice.
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What is your current status?
Please select the choice.
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•When did your office reopen full time?
•How long was the office closed?
I declare that the info I’ve provided is accurate & complete
Submit
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