Columbus County
Whiteville, NC 28472 Tele: 910-640-6615. Fax: 910-640-1088 AGAINST MEDICAL ADVICE WAIVER FORM (Full Release of Liability) I, _____ , have been advised . By the Nursing staff and/or medical personnel of Columbus County Health Department to:_____ _____ The advantages and disadvantages have been fully explained to me, and I understand each. ... ................
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