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Conditions of Admission BY SIGNING BELOW, I UNDERSTAND AND AGREE TO EACH OF THE FOLLOWING CONDITIONS OF ADMISSION TO BAYLOR SCOTT & WHITE SURGICAL HOSPITAL FORT WORTH REFERRED TO IN THIS FORM AS “HOSPITAL

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By signing below i, the individual is acknowledging their agreement or consent to the document or contract.

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The information reported on by signing below i typically includes the individual's name, signature, date, and any other relevant details.

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