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Please sign and date both pages 1 and 2, and keep a copy of this form. Physician's name and address (typewritten or printed). I saw on . (Print patient's name).

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Doyle Biography. Author, Journalist, Doctor (1859–1930) Synopsis; Early Life; Medical Education and Career; Personal Life; Writing Career; Death; Videos. Cite This Page . The website Original Published Date. n/a 

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