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CONSENT FOR TREATMENT I consent to routine treatment deemed necessary or advisable by the health care provider responsible for my care. I also understand that I have the right to be

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Page 1: CONSENT FOR TREATMENT I consent to routine treatment deemed necessary or advisable by the health care provider responsible for my care. I also understand that I have the right to be

Page 2: CONSENT FOR TREATMENT I consent to routine treatment deemed necessary or advisable by the health care provider responsible for my care. I also understand that I have the right to be

Page 3: CONSENT FOR TREATMENT I consent to routine treatment deemed necessary or advisable by the health care provider responsible for my care. I also understand that I have the right to be

Page 4: CONSENT FOR TREATMENT I consent to routine treatment deemed necessary or advisable by the health care provider responsible for my care. I also understand that I have the right to be

Page 5: CONSENT FOR TREATMENT I consent to routine treatment deemed necessary or advisable by the health care provider responsible for my care. I also understand that I have the right to be

Page 6: CONSENT FOR TREATMENT I consent to routine treatment deemed necessary or advisable by the health care provider responsible for my care. I also understand that I have the right to be

Page 7: CONSENT FOR TREATMENT I consent to routine treatment deemed necessary or advisable by the health care provider responsible for my care. I also understand that I have the right to be

Page 8: CONSENT FOR TREATMENT I consent to routine treatment deemed necessary or advisable by the health care provider responsible for my care. I also understand that I have the right to be

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