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Francis Dental Center 247 West 2230 North Suite 103 Provo, UT 84604 (801) 3742405 Patients Name: ___Consent For Treatment I authorize William R Francis, DDS and/or such associates or assistants as
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Patient forms - francis are documents that need to be filled out by patients in order to provide their medical history, contact information, and insurance details.
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Patients visiting a healthcare provider or medical facility are required to file patient forms - francis.
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