Patient Rights and Responsibilities Form

Below, you will find the patient rights and responsibilites.  They are composed of two pages.  Please read them both, sign and witness the forms and fax them back to 877-620-5899 or scan and email them back to info@officeanesthesiology.com or drzak@officeanesthesiology.com
pt.rr1.pdf.jpg
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pt.rr2.pdf.jpg
File Size: 420 kb
File Type: jpg
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