as to how you would like your outside images returned K Upload CD to our system and take back with you K Return CD/Film to my home address on file K Return CD/Film to my referring physician Patient Signature Front Desk Receptionist Name Front Desk Receptionist Signature 6/Z £LLhh£LZLZ atn5etui ienIp

s to how you would like your outside images returned 0 Upload CD to our system and take back with you K Return CD/Film to my home address on file K Return CD/Film to my referring physician Patient Signature Front Desk Receptionist Name Front Desk Receptionist Signature gnarl znoa iVd KV OZ:8 9TOZ/O