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E the University of Texas at Arlington Student Health Center physicians to examine, treat, and refer to an appropriate physician or health facility the above named minor when the need for such treatment is immediate, and when efforts to contact me (us) are unsuccessful. In the event the Student Health Center is closed, or the nature of the illness is beyond the scope of that available at the clinic, I (we) authorize my (our) son/daughter to be treated by a physician at Arlington Memorial Hospita.

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