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Ambulatory Surgery Center of Western New York 3112 Sheridan Drive, Amherst, New York 14226 PEDIATRIC HEALTH HISTORY FORM TO BE COMPLETED BY PATIENTS PARENT/GUARDIAN PATIENT NAME: PARENT/GUARDIAN NAME
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The nurse's signature - ascwnycom is a required signature that confirms the completion of certain tasks or documents by a nurse.
The nurse who has completed the relevant tasks or documents is required to file the nurse's signature - ascwnycom.
To fill out the nurse's signature - ascwnycom, the nurse must sign their name and provide any other required information or documentation.
The purpose of the nurse's signature - ascwnycom is to certify that the tasks or documents have been completed by a qualified nurse.
The nurse's signature - ascwnycom must include the nurse's name, signature, date of completion, and any other relevant information requested.
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