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FD 107 January 2014 Reviewed 6/2016, 7/2017, 9/2018, 8/2019, 11/2019Traverse Health Clinic and Coalition D.B.A. Traverse Health Clinic Consent for TreatmentPatient Name: Date of Birth: / / I am signing
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Traverse Health Clinic is a healthcare facility that provides medical services and treatment to patients, focusing on a range of health issues and promoting overall wellbeing.
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