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Get Ga Au Medical Center Mcg294 2018-2024

G procedure(s): 1. I, Printed Name of Patient or Guardian 2. This procedure is to be performed by Name of Primary Practitioner I further understand that my physician may be assisted during this procedure by other physicians or practitioners whom he designates; and who may assist or perform portions of the procedure(s) at the request or under the direction of my physician. 3. I understand that the purpose of this procedu.

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