david powell health history · i authorize dr. david r. powell and/or such associates or assistants...

2

Upload: others

Post on 03-Jun-2020

3 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: David Powell health history · I authorize Dr. David R. Powell and/or such associates or assistants as he may designate to perform those procedures as may be deemed necessary or advisable
Page 2: David Powell health history · I authorize Dr. David R. Powell and/or such associates or assistants as he may designate to perform those procedures as may be deemed necessary or advisable