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 - Consent to Treatment - Document - PDFSEARCH.IO

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Date: 2014-07-09 10:48:10 Military occupations Dentist Medical diagnosis Health insurance Informed consent Medicine Health Health sciences		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 Add to Reading List Source URL: www.creekcountyfairgrounds.com Download Document from Source Website File Size: 238,62 KB Share Document on Facebook

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