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Home > Documents > OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT...

OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT...

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Page 1: OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT FORM Date of Birth. I authorize University of Louisville Physicians, Inc. (UofL Physicians)

Page 2: OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT FORM Date of Birth. I authorize University of Louisville Physicians, Inc. (UofL Physicians)

Page 3: OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT FORM Date of Birth. I authorize University of Louisville Physicians, Inc. (UofL Physicians)

Page 4: OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT FORM Date of Birth. I authorize University of Louisville Physicians, Inc. (UofL Physicians)

Page 5: OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT FORM Date of Birth. I authorize University of Louisville Physicians, Inc. (UofL Physicians)

Page 6: OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT FORM Date of Birth. I authorize University of Louisville Physicians, Inc. (UofL Physicians)

Page 7: OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT FORM Date of Birth. I authorize University of Louisville Physicians, Inc. (UofL Physicians)

Page 8: OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT FORM Date of Birth. I authorize University of Louisville Physicians, Inc. (UofL Physicians)

Page 9: OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT FORM Date of Birth. I authorize University of Louisville Physicians, Inc. (UofL Physicians)

Page 10: OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT FORM Date of Birth. I authorize University of Louisville Physicians, Inc. (UofL Physicians)

Page 11: OBG SPR IVF-20160829162006 - UofL Physicians | … · UL Physicians PATIENT NAME. GENERAL CONSENT FORM Date of Birth. I authorize University of Louisville Physicians, Inc. (UofL Physicians)

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