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PATIENT AUTHORIZATION, am a patient at the Dialysis Clinic, Inc. (DCI) clinic located at (Clinic). I understand that (affiliated with DCI) desires to videotape, photograph, and/or possibly interview
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I am a patient is a form or document that verifies the identity of an individual as a patient.
Patients or individuals receiving medical treatment are required to file the i am a patient form.
The i am a patient form can be filled out by providing personal information such as name, date of birth, and medical history.
The purpose of i am a patient is to ensure accurate identification and verification of patients in medical settings.
Information such as name, date of birth, medical history, and any allergies or medical conditions must be reported on the i am a patient form.
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