Discharge Ama Form

Discharge Ama Form - I explained the risks and. I, __________________________________________, acknowledge that i have been informed of my current medical condition and the.

I explained the risks and. I, __________________________________________, acknowledge that i have been informed of my current medical condition and the.

I, __________________________________________, acknowledge that i have been informed of my current medical condition and the. I explained the risks and.

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I, __________________________________________, Acknowledge That I Have Been Informed Of My Current Medical Condition And The.

I explained the risks and.

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