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Web the goal of the good faith exam is to make a diagnosis and determine an appropriate treatment plan for the patient. _____ consent to botox® botulinum toxin “a” treatment botox® a neurotoxin produced by the bacterium clostridium a. Web name:_____ date of birth: Hypersensitivity to botulinum a toxin. Web good faith exam good faith exam for botox injections patient.
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Web Name:_____ Date Of Birth:
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