Dr. Iván E. Rodriguez Harlingen Office Address, 1610 East Harrison Ave, suite A, Harlingen, Texas 78550 956-412-9500
Dr. Iván E. Rodriguez
Harlingen Office Address, 1610 East Harrison Ave,
suite A, Harlingen, Texas 78550
956-412-9500
This is an authorization for the office of, Iván E. Rodríguez, D.M.D., Victor Luikham MSD, Ernesto G. Treviño, D.D.S., and their assistants as they may designate, to render dental care to my child. I consent to any dental care which encompasses diagnostic or dental treatment which my dentist or their designee may deem necessary for my child's dental health and well-being.
This authorization will remain effective unless terminated by written notice. Phone number where parent can be contacted during treatment, if needed:
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