Fillable patrick purdue form

Description
Patient Consent Form ! In order for us to provide treatment for your condition(s) it is necessary for you to give your informed consent. This signed consent form applies only to treatments administered by Patrick Purdue, A.P., D.O.M. (licensed in Florida as an Acupuncture Physician, Lic. #AP760) or any other licensed healthcare provider working for Patrick Purdue. ! Under Florida State Law, Chapter 457, such...
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patrick purdue
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