Lemon bottle consent form pdf: Fill out & sign online

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Click ‘Get Form’ to open the fat dissolving consent form in the editor.
Begin by reading the consent statement carefully. Ensure you fully understand the procedure and its potential side effects listed, such as redness, swelling, and bruising.
In the designated fields, initial next to each side effect you acknowledge. This confirms your understanding of the risks involved.
Proceed to the authorization section where you will authorize Dr. Glenn Murray and his assistants to perform the procedure. Make sure all your questions have been answered before signing.
Sign and date the form in the patient’s signature section. Ensure that a witness also signs and dates their section for validation.
Finally, if applicable, ensure that your doctor completes their signature and date section after discussing everything with you.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (39 Votes)
2018	4.3 Satisfied (49 Votes)

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