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Remove item	Product	Price	Quantity	Subtotal
×	Media Release Form	$50.00	Media Release Form quantity	$50.00
×	Intravenous (IV) Infusion Therapy Consent Form	$50.00	Intravenous (IV) Infusion Therapy Consent Form quantity	$50.00
×	Steroids Use Informed Consent	$50.00	Steroids Use Informed Consent quantity	$50.00
×	Asclera Consent Form	$50.00	Asclera Consent Form quantity	$50.00
×	Platelet Rich Plasma / Fibrin Matrix Informed Consent	$50.00	Platelet Rich Plasma / Fibrin Matrix Informed Consent quantity	$50.00
×	Retinol & Hydroquinone Informed Consent	$50.00	Retinol & Hydroquinone Informed Consent quantity	$50.00
×	Malpractice Insurance Disclaimer & Notice of Privacy Practices	$50.00	Malpractice Insurance Disclaimer & Notice of Privacy Practices quantity	$50.00
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