8

Dr. Vassileva | Lawton, OK · but are not limited to xanax, valium, percocet, ultram, ambien, adderall, norco or klonopin. i have read and agree with the above: patient signature

  • Upload
    others

  • View
    4

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Dr. Vassileva | Lawton, OK · but are not limited to xanax, valium, percocet, ultram, ambien, adderall, norco or klonopin. i have read and agree with the above: patient signature
Page 2: Dr. Vassileva | Lawton, OK · but are not limited to xanax, valium, percocet, ultram, ambien, adderall, norco or klonopin. i have read and agree with the above: patient signature
Page 3: Dr. Vassileva | Lawton, OK · but are not limited to xanax, valium, percocet, ultram, ambien, adderall, norco or klonopin. i have read and agree with the above: patient signature
Page 4: Dr. Vassileva | Lawton, OK · but are not limited to xanax, valium, percocet, ultram, ambien, adderall, norco or klonopin. i have read and agree with the above: patient signature
Page 5: Dr. Vassileva | Lawton, OK · but are not limited to xanax, valium, percocet, ultram, ambien, adderall, norco or klonopin. i have read and agree with the above: patient signature
Page 6: Dr. Vassileva | Lawton, OK · but are not limited to xanax, valium, percocet, ultram, ambien, adderall, norco or klonopin. i have read and agree with the above: patient signature
Page 7: Dr. Vassileva | Lawton, OK · but are not limited to xanax, valium, percocet, ultram, ambien, adderall, norco or klonopin. i have read and agree with the above: patient signature
Page 8: Dr. Vassileva | Lawton, OK · but are not limited to xanax, valium, percocet, ultram, ambien, adderall, norco or klonopin. i have read and agree with the above: patient signature