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DISCLOSURE AND CONSENT MEDICAL AND SURGICAL PROCEDURES TO THE PATIENT: You have the right, as a patient, to be informed about your condition and the recommended surgical, medical or diagnostic procedure

What is I (we) understand that the following surgical, medical, and/or diagnostic procedures are planned for me and I (we) voluntarily consent and authorize these procedures (lay terms): Pre-Sacral Plexus Injection (Injection of local anesthetic Form?

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