{"text":"Page 3 of 3 \nSignature of referring doctor (or other professional) Date \nfile:\/\/\/N:\/PCTI\/Docman7\/Data_S1\/Document\/DMEDOC(1\/00003900\/01289198. HTM 28\/07\/2026","words":[{"t":"Page","x":0.81821846029826683643904061682405881583690643310546875,"y":0.01282416642918210274160184525271688471548259258270263671875,"w":0.038291011688835148440990252538540516979992389678955078125,"h":0.0125391849529780559369118719814650830812752246856689453125},{"t":"3","x":0.862152357920193512796913637430407106876373291015625,"y":0.0125391849529780559369118719814650830812752246856689453125,"w":0.0076582023377670289943086601169852656312286853790283203125,"h":0.00968937019093758962473561524575416115112602710723876953125},{"t":"of","x":0.87746876259572748057991020687040872871875762939453125,"y":0.0119692220005699623275319254389614798128604888916015625,"w":0.0181378476420798080692708964534176629967987537384033203125,"h":0.01025933314334568323411556178825776441954076290130615234375},{"t":"3","x":0.8992341797662233293664257871569134294986724853515625,"y":0.0125391849529780559369118719814650830812752246856689453125,"w":0.007255139056831922707291315788324936875142157077789306640625,"h":0.00968937019093758962473561524575416115112602710723876953125},{"t":"Signature","x":0.41072148327287383295924882986582815647125244140625,"y":0.103163294385864912072747756610624492168426513671875,"w":0.0665054413542926214919503991040983237326145172119140625,"h":0.009404388714733542820045641974502359516918659210205078125},{"t":"of","x":0.48206368399838772642596040896023623645305633544921875,"y":0.103163294385864912072747756610624492168426513671875,"w":0.0120918984280532042230316136510737123899161815643310546875,"h":0.0076944998575092619919058023469915497116744518280029296875},{"t":"referring","x":0.498992341797662219970987962369690649211406707763671875,"y":0.103163294385864912072747756610624492168426513671875,"w":0.050785973397823459818400948506678105331957340240478515625,"h":0.009404388714733542820045641974502359516918659210205078125},{"t":"doctor","x":0.55501813784764209014355174076627008616924285888671875,"y":0.103163294385864912072747756610624492168426513671875,"w":0.038291011688835148440990252538540516979992389678955078125,"h":0.0076944998575092619919058023469915497116744518280029296875},{"t":"(or","x":0.59814590890769847586483365375897847115993499755859375,"y":0.103163294385864912072747756610624492168426513671875,"w":0.016928657799274486606133649502226035110652446746826171875,"h":0.0099743516671416364294255885170059627853333950042724609375},{"t":"other","x":0.619911326078194324651349234045483171939849853515625,"y":0.103163294385864912072747756610624492168426513671875,"w":0.03184199919387344090981883937274687923491001129150390625,"h":0.0076944998575092619919058023469915497116744518280029296875},{"t":"professional)","x":0.6565900846432890514137170612229965627193450927734375,"y":0.10259333143345682193281476202173507772386074066162109375,"w":0.07658202337767029688198050507708103395998477935791015625,"h":0.01025933314334568323411556178825776441954076290130615234375},{"t":"Date","x":0.74445787988714229310716063992003910243511199951171875,"y":0.103163294385864912072747756610624492168426513671875,"w":0.0310358726320032231316137227850049384869635105133056640625,"h":0.0076944998575092619919058023469915497116744518280029296875},{"t":"file:\/\/\/N:\/PCTI\/Docman7\/Data_S1\/Document\/DMEDOC(1\/00003900\/01289198.","x":0.09915356711003626977163349920374457724392414093017578125,"y":0.97121687090339126058324836776591837406158447265625,"w":0.6461104393389762723387548248865641653537750244140625,"h":0.01339412938159019635098179179522048798389732837677001953125},{"t":"HTM","x":0.748085449415558212393762005376629531383514404296875,"y":0.97264177828441156226091379721765406429767608642578125,"w":0.0479645304312777132071943242408451624214649200439453125,"h":0.00968937019093758962473561524575416115112602710723876953125},{"t":"28\/07\/2026","x":0.81942765014107210586047358447103761136531829833984375,"y":0.96751211171273865385700219121645204722881317138671875,"w":0.0902861749294639193141875921355676837265491485595703125,"h":0.015388999715018523983811604693983099423348903656005859375}]}