div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imageimg data-url=ching-healthcare-institute-home-caffeine-use-yes-or-no-coffee-tea-energy-drinkhtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: Ching Healthcare Institute - Home · Caffeine Use: Yes or No Coffee Tea Energy drink Sodas ACKNOWLEDGMENT FORM NAME OF PATIENT please print clearly Date of Birth samples loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220607046070491dd6130339ab23df9bhtml5thumbnails1jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=2Page 2button div class=ts-imageimg data-url=ching-healthcare-institute-home-caffeine-use-yes-or-no-coffee-tea-energy-drinkhtmlpage=2 data-page=2 class=ts-thumb lazyload alt=Page 2: Ching Healthcare Institute - Home · Caffeine Use: Yes or No Coffee Tea Energy drink Sodas ACKNOWLEDGMENT FORM NAME OF PATIENT please print clearly Date of Birth samples loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220607046070491dd6130339ab23df9bhtml5thumbnails2jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=3Page 3button div class=ts-imageimg data-url=ching-healthcare-institute-home-caffeine-use-yes-or-no-coffee-tea-energy-drinkhtmlpage=3 data-page=3 class=ts-thumb lazyload alt=Page 3: Ching Healthcare Institute - Home · Caffeine Use: Yes or No Coffee Tea Energy drink Sodas ACKNOWLEDGMENT FORM NAME OF PATIENT please print clearly Date of Birth samples loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220607046070491dd6130339ab23df9bhtml5thumbnails3jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=4Page 4button div class=ts-imageimg data-url=ching-healthcare-institute-home-caffeine-use-yes-or-no-coffee-tea-energy-drinkhtmlpage=4 data-page=4 class=ts-thumb lazyload alt=Page 4: Ching Healthcare Institute - Home · Caffeine Use: Yes or No Coffee Tea Energy drink Sodas ACKNOWLEDGMENT FORM NAME OF PATIENT please print clearly Date of Birth samples loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220607046070491dd6130339ab23df9bhtml5thumbnails4jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=5Page 5button div class=ts-imageimg data-url=ching-healthcare-institute-home-caffeine-use-yes-or-no-coffee-tea-energy-drinkhtmlpage=5 data-page=5 class=ts-thumb lazyload alt=Page 5: Ching Healthcare Institute - Home · Caffeine Use: Yes or No Coffee Tea Energy drink Sodas ACKNOWLEDGMENT FORM NAME OF PATIENT please print clearly Date of Birth samples loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader033vdocumentinreader033viewer20220607046070491dd6130339ab23df9bhtml5thumbnails5jpg width=140 height=200 divdiv
