c2-preview.prosites.comc2-preview.prosites.com/235542/wy/docs/Scan00001.pdf · I hereby authorize...

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Transcript of c2-preview.prosites.comc2-preview.prosites.com/235542/wy/docs/Scan00001.pdf · I hereby authorize...

Page 1: c2-preview.prosites.comc2-preview.prosites.com/235542/wy/docs/Scan00001.pdf · I hereby authorize Dr. George L. Morrisey, Jr., DDS. to perform upon me the dental treatment we have,
Page 2: c2-preview.prosites.comc2-preview.prosites.com/235542/wy/docs/Scan00001.pdf · I hereby authorize Dr. George L. Morrisey, Jr., DDS. to perform upon me the dental treatment we have,
Page 3: c2-preview.prosites.comc2-preview.prosites.com/235542/wy/docs/Scan00001.pdf · I hereby authorize Dr. George L. Morrisey, Jr., DDS. to perform upon me the dental treatment we have,
Page 4: c2-preview.prosites.comc2-preview.prosites.com/235542/wy/docs/Scan00001.pdf · I hereby authorize Dr. George L. Morrisey, Jr., DDS. to perform upon me the dental treatment we have,
Page 5: c2-preview.prosites.comc2-preview.prosites.com/235542/wy/docs/Scan00001.pdf · I hereby authorize Dr. George L. Morrisey, Jr., DDS. to perform upon me the dental treatment we have,
Page 6: c2-preview.prosites.comc2-preview.prosites.com/235542/wy/docs/Scan00001.pdf · I hereby authorize Dr. George L. Morrisey, Jr., DDS. to perform upon me the dental treatment we have,
Page 7: c2-preview.prosites.comc2-preview.prosites.com/235542/wy/docs/Scan00001.pdf · I hereby authorize Dr. George L. Morrisey, Jr., DDS. to perform upon me the dental treatment we have,