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precludeidentification of the patient. ☐ Use of Composites ☐ Other (please describe below):
3. Anonymisation Details
Category 1: The following must be changed or omitted (Please confirm all.) ☐ Patient name ☐ All other names ☐ Patient place of birth ☐ Patient occupation
☐ Dates and exact length of treatment ☐ Organisational or other affiliations ☐ Exact location
Category 2: The following to be omitted (or disguised if there is any possibility inclusioncould lead to identification. (Please consider each category separately.) ☐ Medical conditions ☐ Age ☐ Family and family history ☐ Details of specific traumata and other key historical events Category 3: To be omitted unless essential to the case report, but disguised if so. (Please confirm or explain why and what you have retained to protect patient from identification.) ☐ Religion ☐ Historical and cultural details ☐ Photographs and all other images from the treatment ☐ Other (please elaborate):
Article Disclaimer of Anonymisation
☐ I verify that I have included the following disclaimer in my manuscript, placed directly before thereference list: “Potentially personally identifying information presented in this article that relates directly or indirectly to an individual, or individuals, has been changed to disguise and safeguard the confidentiality, privacy and data protection rights of those concerned, in accordance with the journal’s anonymisation policy.”
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