the gynecology center · patient consent and authorizations consent for treatment: l, the...

6

Upload: others

Post on 08-Aug-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: THE GYNECOLOGY CENTER · PATIENT CONSENT AND AUTHORIZATIONS CONSENT FOR TREATMENT: l, the undersiåned patient, parent or legal guardian, do hereby present myself (or Initials the
Page 2: THE GYNECOLOGY CENTER · PATIENT CONSENT AND AUTHORIZATIONS CONSENT FOR TREATMENT: l, the undersiåned patient, parent or legal guardian, do hereby present myself (or Initials the
Page 3: THE GYNECOLOGY CENTER · PATIENT CONSENT AND AUTHORIZATIONS CONSENT FOR TREATMENT: l, the undersiåned patient, parent or legal guardian, do hereby present myself (or Initials the
Page 4: THE GYNECOLOGY CENTER · PATIENT CONSENT AND AUTHORIZATIONS CONSENT FOR TREATMENT: l, the undersiåned patient, parent or legal guardian, do hereby present myself (or Initials the
Page 5: THE GYNECOLOGY CENTER · PATIENT CONSENT AND AUTHORIZATIONS CONSENT FOR TREATMENT: l, the undersiåned patient, parent or legal guardian, do hereby present myself (or Initials the
Page 6: THE GYNECOLOGY CENTER · PATIENT CONSENT AND AUTHORIZATIONS CONSENT FOR TREATMENT: l, the undersiåned patient, parent or legal guardian, do hereby present myself (or Initials the