BAPTISTMEDICALGROUP.ORG Baptist Medical Group – Westside
6715 Highway 98 West, Pensacola, FL 32506/ P 850.453.6737 / F 850.453.1196 . Baptist Medical Group FM-0405 Pg. 1 of 2 Patient Registration Form (08-16) CONSENT FORM I, the undersigned, recognizing my need for medical care, hereby agree to the following: 1. Consent for Treatment: ................
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