ClinTrak Imaging
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ELECTRONIC SIGNATURES:

By entering my user name and password I am using my electronic signature to log in to the ClinTrak™ system. Any time I am asked to re-enter my username or password to sign a record I am affixing my electronic signature to the record indicated.

Pursuant to Section 11.100 of Title 21 of the Code of Federal Regulations, I understand that this electronic signature is the legally binding equivalent of my handwritten signature.
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