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. Informed Consent for Dental Treatment
I hereby authorize The Office of Dr. Stephen Eric Enriquez to treat me or the person under my care (I am the legal
guardian, or close relative) with the following
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How to fill out i hereby authorize form
01
Read the form carefully to understand the purpose and requirements.
02
Enter your personal information in the designated fields, such as your name, address, and contact details.
03
Specify the scope of authorization accurately, including the actions or decisions you are authorizing someone else to make on your behalf.
04
Provide any necessary supporting documentation or evidence to strengthen your authorization.
05
Sign the form at the designated space to confirm your consent and authorization.
06
Consider seeking legal advice or assistance if you have any doubts or concerns while completing the form.
Who needs i hereby authorize form?
01
Anyone who wants to authorize another person or entity to act on their behalf for a specific purpose may need to fill out the 'I hereby authorize' form.
02
This can include individuals who are unable to attend a meeting or sign legal documents in person, individuals granting power of attorney, or individuals authorizing someone else to access their personal or financial information.
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