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SoutheasternUniversity1000LongfellowBoulevardLakeland,FL33801 CONSENTTOMEDICALTREATMENT Theundersignedherebyconsent(s)and grant(s)permissiontorepresentativesofSoutheasternUniversityforthe MissionTriptoobtainemergencytreatmentonbehalfofthestudentorattendeeindicatedbelowshouldthestudentorattendeebecomeillor
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