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ANITA MANUAL, M.D. P.A.(11/12) PATIENT INFORMATION Patient Name: Last ___First ___M. I.___SS# ___ Street Address ___ City /St___ Zip___ Mailing Address___ Phone: Day(___)___ Evening(___)___ CELL(___)___
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Consent to communicatedocx is a document that gives permission for communication to take place between parties.
The parties involved in the communication are required to file consent to communicatedocx.
To fill out consent to communicatedocx, the parties need to provide their contact information and agree to the terms of communication.
The purpose of consent to communicatedocx is to ensure that communication is authorized and compliant with regulations.
The information reported on consent to communicatedocx may include party names, contact information, and communication preferences.
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