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PATIENT CONSENT FORM
PATIENT NAMEDOBKATHLEEN W. JUDGE, M.D.
MEDICAL DIRECTOR
DIPLOMAT OF THE AMERICAN BOARD OF DERMATOLOGY AND DERMATOLOGICAL SURGERYPlease fill out the following:I hereby authorize
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Judge m is a form used for reporting financial information and potential conflicts of interest for judges.
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Judges are required to file judge m.
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Judge m can be filled out by providing detailed financial information and potential conflicts of interest.
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The purpose of judge m is to promote transparency and prevent conflicts of interest in the judiciary.
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Information such as sources of income, investments, gifts, and potential conflicts of interest must be reported on judge m.
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