div class=ts-pagebuttonPage 1button div class=ts-image amp-img class=ts-thumb alt=Page 1: Aventino Medical Group – Aventino Medical GroupROXY FOR THE PERSON ACCOMPANYING A AND SELF-CERTIFICATION FORM FOR PARENTS LEGAL REPRESENTATIV I the undersigned First name: src=https:reader034vdocumentinreader034viewer2022052101603bc47a185faf07c75610b0html5thumbnails1jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 2button div class=ts-image amp-img class=ts-thumb alt=Page 2: Aventino Medical Group – Aventino Medical GroupROXY FOR THE PERSON ACCOMPANYING A AND SELF-CERTIFICATION FORM FOR PARENTS LEGAL REPRESENTATIV I the undersigned First name: src=https:reader034vdocumentinreader034viewer2022052101603bc47a185faf07c75610b0html5thumbnails2jpg width=142 height=106 layout=responsive amp-img divdiv