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Client – If Presumed Competent to Consent/Parent of Minor/Guardian (POA-HC) Relationship to Client Guardian (POA-HC) Staff Present at Oral Discussion Client / Parent of Minor / Guardian (POA-HC) Comments As parent/guardian (POA-HC) was not available for signature, he/she was atarax ingredients atarax tablets to buy atarax generic name atarax dosage for itching atarax verbally informed of the information in this consent .
Obtained by – PRINT – Staff Name Written Consent Received Obtained from – PRINT – Parent / atarax Guardian (POA-HC) Name .
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