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Get AZ Soccer Association Medical Release Form 2008-2024

Request and authorize physicians, dentists, and staff, duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the above minor. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependant. I have not been given a guarantee as to the results of examination or treatment. I authorize th.

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