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General Consent Acknowledgement Form C n e r P y iinC r e t g a h sca ae Patient Name DOB Consent for Treatment I consent to evaluation and treatment of the condition for which I or my child or dependant have come to Centegra Physician Care CPC and authorize the physicians and other health care providers affiliated with CPC to provide such evaluation and treatment. I understand that health care providers in...
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general consent form health
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