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CG5484I PDF Child Development Services Medical Consent Authorization Uscg 2005
Subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained as her free act and deed before me in the County/City and State aforesaid. Sworn to and subscribed before me this Notary Public My Commission Expires. It is to take effect on and unless sooner revoked or terminated by me this Power of Attorney shall become NULL and VOID on. The person s named above may authorize any medical or surgical procedures or treatments deemed necessary by...
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