div class=ts-pagebuttonPage 1button div class=ts-image amp-img class=ts-thumb alt=Page 1: · I grant the right to the dentist to Address: 275 S ROBERTSON BLVD STE G BEVERLY HILLS CA 90211 Right to Revoke: You will have the right to revoke this Consent at any time src=https:reader034vdocumentinreader034viewer20220423085ed569956551673b635ad673html5thumbnails1jpg 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: · I grant the right to the dentist to Address: 275 S ROBERTSON BLVD STE G BEVERLY HILLS CA 90211 Right to Revoke: You will have the right to revoke this Consent at any time src=https:reader034vdocumentinreader034viewer20220423085ed569956551673b635ad673html5thumbnails2jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 3button div class=ts-image amp-img class=ts-thumb alt=Page 3: · I grant the right to the dentist to Address: 275 S ROBERTSON BLVD STE G BEVERLY HILLS CA 90211 Right to Revoke: You will have the right to revoke this Consent at any time src=https:reader034vdocumentinreader034viewer20220423085ed569956551673b635ad673html5thumbnails3jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 4button div class=ts-image amp-img class=ts-thumb alt=Page 4: · I grant the right to the dentist to Address: 275 S ROBERTSON BLVD STE G BEVERLY HILLS CA 90211 Right to Revoke: You will have the right to revoke this Consent at any time src=https:reader034vdocumentinreader034viewer20220423085ed569956551673b635ad673html5thumbnails4jpg width=142 height=106 layout=responsive amp-img divdiv