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Complaints about physicians, as well as other licensees and registrants of the Texas Medical Board, including physician assistants, acupuncturists, and surgical assistants may be reported for investigation at the following address: Texas Medical Board Attention: Investigations 333 Guadalupe, Tower 3, Suite 610 P.O. Box 2018, MC-263
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CONSENT FOR ADMISSION / TREATMENT
mychart.utsouthwestern.eduFORM # 80935 (06/07) (Rev. 07/08/2020) White - Health Information Management Yellow - Patient Location of treatment: cUT Southwestern University Hospital Outpatient c Surgery Center (clinic name) 1. APPLICATION FOR ADMISSION AND CONSENT FOR TREATMENT: I voluntarily consent to the procedures and services that may be performed for me on an …
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