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Hidy Stavarache of Hidy Stavarache D. D. S. Ltd. I hereby authorize Hidy Stavarache D. D. S. Ltd. to receive and use my protected medical information for the purpose of documenting any and all medical clearance required prior to dental treatment. Does the patient require Prophylactic Antibiotic Coverage prior to dental treatment If yes for how long 6 months 1 year 2 years Yes No If no please state reason Oral Regimen you recommend RX DISP SIG 2. Hidy Stavarache D. D. S. 9910 W. Cheyenne...
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Hidy Stavarache D is a form used for reporting financial information.
Individuals or entities required to report certain financial data.
By providing accurate and complete financial information in the designated sections.
To report financial data to the appropriate authorities for regulatory compliance.
Income, expenses, assets, liabilities, and other financial details as specified in the form.
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