191![CONSENT FOR TREATMENT AND AUTHORIZATION TO PERFORM X-RAYS Date _______________________________ Time _____________________ AM / PM I have been informed by Dr. _____________________________ that diagnostic xrays are advisa CONSENT FOR TREATMENT AND AUTHORIZATION TO PERFORM X-RAYS Date _______________________________ Time _____________________ AM / PM I have been informed by Dr. _____________________________ that diagnostic xrays are advisa](https://www.pdfsearch.io/img/5041301750df834fa9960585712edebb.jpg) | Add to Reading ListSource URL: www.parkhillsspa.com- Date: 2014-09-17 21:49:40
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192![WSU Oboe and Bassoon Camp Medical
and
Surgical
Treatment
Authorization:
I hereby authorize and give my consent to the h ealth authorities of Wash ington Sta te University or any licensed physician to perf WSU Oboe and Bassoon Camp Medical
and
Surgical
Treatment
Authorization:
I hereby authorize and give my consent to the h ealth authorities of Wash ington Sta te University or any licensed physician to perf](https://www.pdfsearch.io/img/a35b35ac53866342144ea89f89076983.jpg) | Add to Reading ListSource URL: libarts.wsu.eduLanguage: English - Date: 2012-05-18 17:56:39
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193![Consent to Medical Treatment for Foster Children: California Law A Guide for Health Care Providers Consent to Medical Treatment for Foster Children: California Law A Guide for Health Care Providers](https://www.pdfsearch.io/img/2744c4fe2de6b38d330138fcfb2c3d65.jpg) | Add to Reading ListSource URL: www.teenhealthlaw.orgLanguage: English - Date: 2009-04-09 19:13:35
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194![PATIENT’S RIGHTS Welcome to the Diagnostic and Treatment Center of The Hamilton County Public Health Nursing Service. This clinic is monitored by the New York State Department of Health. We hope you find our services o PATIENT’S RIGHTS Welcome to the Diagnostic and Treatment Center of The Hamilton County Public Health Nursing Service. This clinic is monitored by the New York State Department of Health. We hope you find our services o](https://www.pdfsearch.io/img/68c2421c0258d82757b8de674e75ee00.jpg) | Add to Reading ListSource URL: www.hamiltoncountyhhs.orgLanguage: English - Date: 2011-04-01 11:19:24
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195![Campus Health Services Parental Consent for Treatment of a Minor Dear Parent or Legal Guardian, Because your student is under the age of 18, your signature is needed to authorize use of Campus Health Services for illness Campus Health Services Parental Consent for Treatment of a Minor Dear Parent or Legal Guardian, Because your student is under the age of 18, your signature is needed to authorize use of Campus Health Services for illness](https://www.pdfsearch.io/img/c6cc71645e7f55432a5be9d767aa5ce5.jpg) | Add to Reading ListSource URL: www.dordt.eduLanguage: English - Date: 2014-09-11 11:14:19
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196![Consent to Treatment Jill D. Moore, JD, MPH University of North Carolina School of Government March 20, 2012, 9:00 p.m.
Objectives Consent to Treatment Jill D. Moore, JD, MPH University of North Carolina School of Government March 20, 2012, 9:00 p.m.
Objectives](https://www.pdfsearch.io/img/5c27a235faf9f1936b52ac06ed178aef.jpg) | Add to Reading ListSource URL: epi.publichealth.nc.govLanguage: English - Date: 2012-05-02 14:00:43
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197![LEGAL REQUIREMENTS FOR CONSENT TO DISCLOSE PATIENT INFORMATION FOR TREATMENT PURPOSES: LEGAL REQUIREMENTS FOR CONSENT TO DISCLOSE PATIENT INFORMATION FOR TREATMENT PURPOSES:](https://www.pdfsearch.io/img/a71b00029d04e3ca9fbf152598df78ef.jpg) | Add to Reading ListSource URL: ncdhhs.govLanguage: English - Date: 2010-11-03 10:50:37
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198![LEGAL REQUIREMENTS FOR CONSENT TO DISCLOSE PATIENT INFORMATION FOR TREATMENT PURPOSES: LEGAL REQUIREMENTS FOR CONSENT TO DISCLOSE PATIENT INFORMATION FOR TREATMENT PURPOSES:](https://www.pdfsearch.io/img/b2b2f209373215a96dc3a88a66e765e3.jpg) | Add to Reading ListSource URL: ncdhhs.govLanguage: English - Date: 2010-11-03 10:50:40
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199![LEGAL REQUIREMENTS FOR CONSENT TO DISCLOSE PATIENT INFORMATION FOR TREATMENT PURPOSES: LEGAL REQUIREMENTS FOR CONSENT TO DISCLOSE PATIENT INFORMATION FOR TREATMENT PURPOSES:](https://www.pdfsearch.io/img/f379f1a7fec3f250c358f5b99703a4b6.jpg) | Add to Reading ListSource URL: ncdhhs.govLanguage: English - Date: 2010-11-03 10:50:37
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200![AUTHORIZATION FOR TREATMENT TO MINORS I/We the undersigned, parent(s) or legal guardian of the minor listed below: Birth date: do hereby authorize any x-ray examination, anesthetic, dental, medical or surgical diagnosis AUTHORIZATION FOR TREATMENT TO MINORS I/We the undersigned, parent(s) or legal guardian of the minor listed below: Birth date: do hereby authorize any x-ray examination, anesthetic, dental, medical or surgical diagnosis](https://www.pdfsearch.io/img/45d303213f25b67ad21beadc7caf7d0d.jpg) | Add to Reading ListSource URL: www.creekcountyfairgrounds.comLanguage: English - Date: 2014-07-09 10:48:10
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