Revised Patient Photographic Authorization & Release
Plastic and Reconstructive Surgery. Rod J. Rohrich, M.D., Editor. UT Southwestern Medical Center. 5323 Harry Hines Blvd., HX1.636 Dallas, TX 75390-8820 Tel (214) 645-7790 Fax (214-645-7791 PATIENT PHOTOGRAPHIC AUTHORIZATION, RELEASE AND DISCHARGE. ................
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