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STATEMENT ACKNOWLEDGING REQUIREMENT TO REPORT …

STATEMENT ACKNOWLEDGING REQUIREMENT TO REPORT …

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surgeon (WIC Section 1 5610.63). Serious bodily injury . means an injury involving extreme physical pain, substantial risk of death, or protracted loss or impairment of function of a bodily member, organ, or of mental faculty, or requiring medical intervention, including, but not limited to, hospitalization, surgery, or physical rehabilitation

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