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Get Optional 522 2003-2024

1b. DESCRIBE (Check all applicable boxes) OPERATION OR PROCEDURE SEDATION ANESTHESIA TRANSFUSION B. STATEMENT OF REQUEST 2. The nature and purpose of the operation or procedure, possible alternative methods of treatment, the risks involved, and the possibility of complications have been fully explained to me. I acknowledge that no guarantees have been made to me concerning the results of the operation or procedure. I understand the nature of the operation or procedure to be (describe op.

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