Pt Consent Form

Patient Authorization/Consent Form

Pt Consent Form. I consent to and authorize my physical therapist, occupational therapist and other.

I consent to and authorize my physical therapist, occupational therapist and other.

I consent to and authorize my physical therapist, occupational therapist and other. I consent to and authorize my physical therapist, occupational therapist and other.

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Patient Authorization/Consent Form

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