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Chase City Primary Care Center, Chase City VA A Service of ICU Community Memorial HospitalCONSENT FOR TREATMENT I, the undersigned, authorize the performance of any medical or surgical procedure including
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Chase City Primary Care is a healthcare provider that offers primary care services to individuals in Chase City.
Chase City Primary Care is not something to be filed, it is a healthcare provider.
Chase City Primary Care does not require any filling out as it is a healthcare provider.
The purpose of Chase City Primary Care is to provide primary healthcare services to the residents of Chase City.
Information such as patient demographics, medical history, medications, and treatment plans must be reported on Chase City Primary Care records.
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