%PDF-1.4 %쏢 %%Invocation: gs -sDEVICE=pdfwrite -dPDFSETTINGS=/printer -dCompatibilityLevel=1.4 -dColorConversionStrategy=/LeaveColorUnchanged -dDownsampleMonoImages=true -dDownsampleGrayImages=true -dDownsampleColorImages=true -dAutoFilterColorImages=true %%+ -dAutoFilterGrayImages=true -dColorImageFilter=/FlateEncode -dGrayImageFilter=/FlateEncode -dCompressFonts=true -dColorImageResolution=150 -dGrayImageResolution=150 -dMonoImageResolution=150 -dNOPAUSE -dQUIET -dBATCH ? ? ? 5 0 obj <> stream x+T03T0A(U`fhS03t @?\%+j endstream endobj 6 0 obj 53 endobj 4 0 obj <> /Contents 5 0 R /CropBox [0 0 612.0 792.0] >> endobj 3 0 obj << /Type /Pages /Kids [ 4 0 R ] /Count 1 >> endobj 1 0 obj <>] >> /Metadata 9 0 R >> endobj 8 0 obj <> endobj 7 0 obj <>/Length 12850>>stream dY" Ta 2:;ZȄa2::rLGE9ЊN6! 3 ````Jql309GW}w}]Wm_}?_8}=w8_/OqtC?v8k>8^+c^WO4Yn>׿UMa/֗Zum+](~߮[uaKK8`. iGaDŽ~0a/d !c>ܘuc~ߖ/*=~":D7GOGo\7\CF\v~ooJpnm ݿNQ}Go>vv^\wkOλmѫ~Ǥ߿ _ mVC[wHIy!~ߐ}ݲ_{}Z}{΋_ッ޿~뵭턴%uKm ouگ__l%]50i ڧp$7jÆ5a [AZa8a l$ᄡ! AC alPO: mL a8D|* a ۔An bJq ""[*+bK gq+>FC Ivqڂ ڲP.ڪH74pjZ[_In~q/>\̍xlG0gѨGk@~a:Vi8=~IkmK \t߫tݪONWK??~_yՍ?\섟CoT祿{֤+b+oUH3HLҷM׶֗IM 6R-zvb!6Aڶ A5CچE B!-aP0B!!A!׮JXP`Unh19d^ D.;H)B( @톭l5>0Ot֓]҄MoV-ҫֿ.ws^S=%ֽO7i2EF!.%GgxM^@0h4"'wm {]'cҹA6?B;/͎^Rm'2|u׷_֓֗cZMӥ_:m-׿#z$^ii{#?P/Bz _z]=}?_(A%z[l[`_v{>u^Rv {]Ӵn [kuRziii-7b#e@LSA'0"""""""""$D\DDDF5J?ш!E-E!@s 0ԍ 0#|C2.0@g٘s>! 0@ͅ5"v} C |CC.SYϝˆ7[tg-ڴ34~5Yܸmlm;Ѭ6k 5#囝Lٱ"55nhfݻIݭڄ}mjIݤv.on}pKA7nշ߽>">80DJ#㏶JSWR_ߥ{WſtqJ|v8.륿Va[_ǷKվ:0ۮaaB?߈Z  ῩQߥmuӠop^Oa?_}$a:?~~)=oY_^f#z-3T߭kfkSu3W_]_I[nm-WZ pi7Jݫi-4 '8&ȼ6 $!髡A 6*I{:QOpI $b0R#!B(! 8 b2DLDDDDDDDDDDDDDDDDDDDDDDDG,#D:2hܤS !pb`)3p#dhEڗh"hlT=cmiY5_3Uz[]{]xJWV[MuۥzjBM M45 )/nTMyU!&,+qI,X ah0"""""""""#MEDhG&*i)2/DErfg%0F)L*Xfvaw 0ӾG"k$Dqڷv]|W6"*">fES|KOO6ODUG?5Sѧg8e:Dxxe9eA; "f9# A/7b8gf$x0;Ac#a##Ʉ s<< Dx@ /Gρfl$$%?O}pƐmyQGhSf4{rGħI; m;Q)[m&v *}a86aB#e!aB#7aS &xPL$Ga4'a610<'ʚ oA(p0Pq#A vDDDDDDDDDDDDDDDDDqq.I$ڏTU DG%H"B:!HבK艣 ̑")LG3^O+n q| wxM{EA 0wq}\tL/|q]"k}wzW빐u4}Feޞm:3̧fzg3̡%7g A?!`DDDE8B""Ѝ DDDDCόDDDDD[lDE!m.#*Q Cs #tGG<`B8RbPT8 cJ0UI48=M8Ob+tL": QLΚ ?n025Q,1A¦!i:a˝0xAA0YC 'K ,h}2[gG`QRpۋB";2Y%YDjuZ2,d,1 2DSUY(Ȫ%q+LON_#vh'N˰Gҿm9V h8+_qQĹ#ѣl=4E VS @F!m;>̏8O' /ޫ.y7_oNzW믺TBhk&?c*H/ZV,_?$g|z,ZW_~)zX%_|7m___!Cwڴ}zK ֩ެRjLN:V7W Sm M6VlUJ \0i":a4z a1 0a0 AP6+ag("(8hCb""""""""#2l&ӭ r9.9rCPG%r<(sCCP̤DDDDDDDDDDDDDDDF?#eL;1"yLDGwJc=2O Dtߵ=}Gѵ0?Gh/ sm_xKO D-}߽z_^_ǫֿ{]Rw_OqYē~sk"ݵՂ8پպ?0[ E=*;J*J#9S. [ k^{#c+ׇi5ئ)^qObpaÈjTAnaAbwbnY5 I!'Иdyil¦!0V3:eZ 'kn &A8xLL":agft3^"""""""""""""""""""""""#B"""Z KPQS";Ȓ$eI(F;.BFR"(ij\ Ds_[M;M4U qC"lIjlJD>''<-/zd8zΈ(Dyo= ̝$:R;8d/Aa3^|d~!28  };/6'1xCA`0# ">lCAāB_nAGldx0# ،Zf`ZqDs@$_m##"_E*ٽQP᣽/ ޗMFVRnI7I&Fin\g ~ 5vIp}ٮj&hm^'KO];>?Z?]/ƿl?'}հگ-ʰ/_mW>ǰ㟳0A뽇~~_9=<3_;u}N_uIu !^=_4OU{]I_OP_ lN/Z~/8t[8.}[}mٍl-)~Vvdu {mpE>¶nG_rH`mk$uu*9UحatL2yN+bnӆŪPLRzIjL+1IS 8㈈a CCDXA """ >>1`DDDDF|b"""""""""1RqIKEDGѐ&dDE>ՐTE9JH HdDFfh_$eJM4 1djV<]bT{aFrӴHm wnO"#/&=R|WɒԘDW|)_]ʬCE5ͣLaND":9&I ?Ln83s#y ͙!F$o#^7s|fd8h<? "ik BWlU ZkUG4[XNK- %uzlWlakýp %r;qll\\5diViԺ8AOi pڱ i4pL": $Mؠ GBK1 MZ¦ikh bAس4 81Pq8VE6$ (dI$DiZiwE-+dc6gg"xԍ C"$(Pt/@_Ax#9F3]xTlחM M뫭ooׄ?Q=vk9 =. k[uE?'8OE; k^izӇaOb)N* =O"",!P@0B/uqQAlgQ B+bb<3>9fwoGt\*g'a6];0^oZS%jpo 7ָj#T]~d,pCIתXDs##8]#:1Ȏˇ/#!.!#p/‘G# f\:<]D莍#:#쏗#莋c.:TI!"Bx@UTKʼnqGG@H0c#"&>eBsC9Xqȣt&9a!!dx!hD B"%PJDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDG#?'@@ԷlTYa6tB@ېOvοMͣ8~m G."_7*<7/hfl7G.4߻i; I-&Ů<;ׯ__=Sp׊?{^>^WkxGKr^O]~X"w{\Q kGIJŊNEqlqILRlV8a8l0+툆Qlbh8~Gr4aDpC#1tGn%@d###p`!]>\ 6*9r% D썳췘nm2uOfΙ/:?682ϑN"C5y?E_6$$P"EC0%.᣻_6A >>-7TvkxW_ }u>JW}~k_z _j|G uq_GI;# oؤIz{_"q~E<@ou[#`tXadkzAl6)l4b&X l%b吰##:#l O& 92Kةt΁!_ 2 dX a p NT 6JlGڤ﷽nm&_;y}]oo>;xn*avZ{%~}޷W~8O|}*|?_[oJ [1L4o!S hp BW44a: DDDDDDDDqO#dSʳ)h0hqj`~]q%׉lO^qmc}D}wS8;6B,5D 8͢3a"? 6~r6J0΄n8WP"TGJ@e̺@$-_i0 a0N#$T4U*ʀECx+Q@oֆcCT?zHBo.T_?~Lֵ7H/KiulO}?W@m:@1* ]8n oNlS M88k5K`5a DDD6"" b""? endstream endobj 9 0 obj <>stream 2026-05-19T16:58:51Z 2026-05-19T16:58:51Z PScript5.dll Version 5.2.2 Patient Authorization for Use 2026nrhaywood endstream endobj 2 0 obj <>endobj xref 0 10 0000000000 65535 f 0000000850 00000 n 0000015375 00000 n 0000000791 00000 n 0000000627 00000 n 0000000486 00000 n 0000000609 00000 n 0000000982 00000 n 0000000953 00000 n 0000014023 00000 n trailer << /Size 10 /Root 1 0 R /Info 2 0 R /ID [<8BCA623A56D0D28472F1E37DBF1461A2><8BCA623A56D0D28472F1E37DBF1461A2>] >> startxref 15599 %%EOF