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400 N Texas Ave, Ste C Webster, TX 77598 2815427800Informed Consent Identical Hormone Replacement Therapy for the Female Patient Name: ___ DOB: ___Date: ___ This form is an Informed Consent Form to
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Amir Salim MD PA is a medical practice owned by Dr. Amir Salim.
Dr. Amir Salim or the designated administrator of the practice is required to file Amir Salim MD PA.
Amir Salim MD PA can be filled out by providing all the required information about the medical practice, financial details, and any other necessary information.
The purpose of Amir Salim MD PA is to report financial and operational information of the medical practice for regulatory and compliance purposes.
Information such as revenue, expenses, patient volume, insurance contracts, and any other relevant financial and operational data must be reported on Amir Salim MD PA.
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