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Thisletterisintendedtoconstitutethedirectiveof, andconsentby, the custodial, co custodial and/ornoncustodialguardian(s)ofthepatienttobetreatedatAcadianCare. Please review andsignthisletterindicatingthatyouagreeandconsenttothenecessarytreatmentidealsbelowand

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