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Vortala€¦ · Consent to evaluate and adjust a minor child: being the parent or legal guardian of read and fially understand the above Informed Consent and hereby grant permission

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Page 1: Vortala€¦ · Consent to evaluate and adjust a minor child: being the parent or legal guardian of read and fially understand the above Informed Consent and hereby grant permission
Page 2: Vortala€¦ · Consent to evaluate and adjust a minor child: being the parent or legal guardian of read and fially understand the above Informed Consent and hereby grant permission
Page 3: Vortala€¦ · Consent to evaluate and adjust a minor child: being the parent or legal guardian of read and fially understand the above Informed Consent and hereby grant permission
Page 4: Vortala€¦ · Consent to evaluate and adjust a minor child: being the parent or legal guardian of read and fially understand the above Informed Consent and hereby grant permission
Page 5: Vortala€¦ · Consent to evaluate and adjust a minor child: being the parent or legal guardian of read and fially understand the above Informed Consent and hereby grant permission
Page 6: Vortala€¦ · Consent to evaluate and adjust a minor child: being the parent or legal guardian of read and fially understand the above Informed Consent and hereby grant permission
Page 7: Vortala€¦ · Consent to evaluate and adjust a minor child: being the parent or legal guardian of read and fially understand the above Informed Consent and hereby grant permission
Page 8: Vortala€¦ · Consent to evaluate and adjust a minor child: being the parent or legal guardian of read and fially understand the above Informed Consent and hereby grant permission

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