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The information obtained here will be used to maintain a database of patients with Fibrosing Mediastinitis. Since the number of patients is limited, gathering this information is critical in understanding the disease and compiling demographic and treatment information. If you have any questions or concerns please Contact me.

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Tricia Edgell is not responsible or liable to the user for damages of any kind arising out of information provided in this form. Data or information provided to Tricia Edgell shall be used and relied upon only at the users sole risk, and the user agrees to indemnify and hold harmless Tricia Edgell from any liability arising out of the data or information provided. By completing this form, the user agrees to have information made public for research and educational purposes.