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Loyola University Medical Center Consent for Surgery Name: MR#: 1. I hereby authorize Dr. David A. Hatch, attending physician, and such assistants and associates as may be elected by him to perform
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The him to perform form is a document that allows an individual to request permission to perform a specific action or task.
Any individual who is seeking permission to perform a specific action or task may be required to file him to perform form.
The him to perform form can be filled out by providing personal information, details of the action or task to be performed, and any relevant supporting documentation.
The purpose of him to perform form is to formally request permission to perform a specific action or task.
The him to perform form may require personal information, details of the action or task to be performed, reasons for requesting permission, and any supporting documentation.
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