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C O N F I D E N T I A L PAT I E N T I N F O R M AT I O N Evergreen Center FOR Integrative Medicine Dr. Guardian/PatientsName print Date PATIENT-PRACTITIONER RELATIONSHIP independent practitioner at The Evergreen Center for Integrative Medicine. The Medicine or any of the other practitioners who may practice there. If I am seeing more than one practitioner at this clinic I understand that each separately from any other practitioners at this clini...
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