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1460 Drew Avenue, Suite #200 Davis, CA 95618 P: (530) 7539011 F: (530) 7539021 www.physicaledge.netSIGNATURESConsent for Care and Treatment I, the undersigned, do hereby agree and give my consent
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Information such as the names of parties involved, the purpose of the document, and the respective signatures along with dates must be reported on signaturesdoc.
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