From: ToaKohe-Love | Date: 7/7/2009 | Rated: 0 (0) | Views: 17

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SANTIAGO CANYON COLLEGE HEALTH AND WELLNESS CENTER HEALTH SERVICES CONSENT FOR TREATMENT OF MINOR I hereby consent to and authorize the administ ...  more>>

From: Reileyfan | Date: 7/31/2009 | Rated: 0 (0) | Views: 9

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CONSENT TO TREATMENT OF A MINOR This form is to be completed for each minor and filed in the minor’s chart. Date: ______________________ TO: PVFC, ...  more>>

From: Reileyfan | Date: 7/31/2009 | Rated: 0 (0) | Views: 5

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9171 Wilshire Blvd., Penthouse Beverly Hills, CA 90210 MFC License # 47157 Tel. 310.801.5761 Consent for Treatment of Minor Patient ...  more>>

From: Reileyfan | Date: 7/31/2009 | Rated: 0 (0) | Views: 3

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Janet M. Hack, Psy.D. Psychological Assistant, PSB 30491 181 Andrieux Street, Suite 212 Sonoma, CA 95476-6920 (707) 548-8853 ...  more>>

From: Reileyfan | Date: 7/31/2009 | Rated: 0 (0) | Views: 14

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Good Shepherd Lutheran Church and Early Childhood Center 700 W. Whitestone Blvd Cedar Park, Tx 78613 Authorization to Consent to Medical Treatment ...  more>>

From: StuartSpruce | Date: 6/24/2009 | Rated: 0 (0) | Views: 3

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DR. TREVOR O. ERIKSEN, B.A., D.C. 855 West Seventh Street, Suite 23 Reno, Nevada 89503 (775) 329-3600 CONSENT TO TREATMENT OF MINOR ...  more>>

From: Reileyfan | Date: 7/31/2009 | Rated: 0 (0) | Views: 1

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HAVEN COUNSELING 4099 McEwen, Suite 600 Dallas, Texas 75244 Phone: 972 387-3898 www.havencounseling.com Fax: 972 387-3987 CONSENT FOR TREATMENT ...  more>>