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AdvanceDirectiveInformation Impatient:Pleasecompletethefollowingquestions. Thisformwillbecomepartofyourmedicalrecord. TexasandFederallawprovides everycompetentadultandemancipatedminortherighttomakehis/herownhealthcaredecisions,
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The purpose of dear patient please complete is to gather important patient information for record keeping and billing purposes.
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