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CO N S E N T F O RF O ROUND C O V E R I N GR T H O D O N T I CITE E T HA RE PAGE 1 OF 2 Patients NameDatePlease initial each paragraph after reading. If you have any questions, please ask your doctor BEFORE

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n c o v stands for Novel Coronavirus, which is a new strain of coronavirus that was first identified in Wuhan, China in 2019.

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The n c o v should be filed by individuals, businesses, and organizations who have been affected by the pandemic and are seeking financial assistance or relief.

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