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Main office 736 N MAGNOLIA AVE. ORLANDO FL. 32803 407. 423. 7149 407. 422. 0470 W W W. A P G H E A L T H. If I am consenting to treatment for another person I certify that I am legally responsible for that person and am entitled to consent to treatment for them. This form has been fully explained to me and I certify that I understand its contents. C O M advanced psychiatric group apg research llc. APG research llc. T R E AT M E N T C O N S E N T F O R M NAME SOCIAL SECURITY NUMBER Explanation...
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