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ARIZONA DEPARTMENT OF HEALTH SERVICES PARENTAL CONSENT FORM FOR A PREGNANT (EMANCIPATED) MINOR PLEASE BE ADVISED THAT IN ACCORDANCE WITH ARIZONA REVISED STATUTES (A.R.S.) 36-2152(M), THE PHYSICIAN

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ARIZONA UNEMANCIPATED NOTARIZATION signer conservator perforation Sterility Uterine attest Continuation Hysterectomy clots STATUTES Notary induced REVISED MINORS complication diagnostic resulting ACCORDANCE Hemorrhage

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