%PDF-1.4
%
1 0 obj
<>
endobj
2 0 obj
<>stream
application/pdf
Informed Consent for Adenosine Lipo B Injections
2015-02-21T12:36:30+08:00
2015-02-21T12:36:30+08:00
2015-02-21T12:36:30+08:00
Adobe Illustrator CS5
200
256
JPEG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uuid:e6dbd6cf-6f82-45aa-8514-8026719f4c20
xmp.did:6E02C81A83B9E4118B86DD8F706D6AC1
uuid:5D20892493BFDB11914A8590D31508C8
proof:pdf
xmp.iid:6D02C81A83B9E4118B86DD8F706D6AC1
xmp.did:6D02C81A83B9E4118B86DD8F706D6AC1
uuid:5D20892493BFDB11914A8590D31508C8
proof:pdf
saved
xmp.iid:6D02C81A83B9E4118B86DD8F706D6AC1
2015-02-21T12:35:46+08:00
Adobe Illustrator CS5
/
saved
xmp.iid:6E02C81A83B9E4118B86DD8F706D6AC1
2015-02-21T12:36:24+08:00
Adobe Illustrator CS5
/
EmbedByReference
\\ISR-DATA-PC\ISR - File Server\Sugar Land Medical and Aesthetics\materials\form downloadables\TIFF Forms\Informed Consent for Adenosine Lipo B Injections.tif
Print
False
False
1
8.500000
11.000000
Inches
Cyan
Magenta
Yellow
Black
Default Swatch Group
0
White
CMYK
PROCESS
0.000000
0.000000
0.000000
0.000000
Black
CMYK
PROCESS
0.000000
0.000000
0.000000
100.000000
CMYK Red
CMYK
PROCESS
0.000000
100.000000
100.000000
0.000000
CMYK Yellow
CMYK
PROCESS
0.000000
0.000000
100.000000
0.000000
CMYK Green
CMYK
PROCESS
100.000000
0.000000
100.000000
0.000000
CMYK Cyan
CMYK
PROCESS
100.000000
0.000000
0.000000
0.000000
CMYK Blue
CMYK
PROCESS
100.000000
100.000000
0.000000
0.000000
CMYK Magenta
CMYK
PROCESS
0.000000
100.000000
0.000000
0.000000
C=15 M=100 Y=90 K=10
CMYK
PROCESS
14.999998
100.000000
90.000004
10.000002
C=0 M=90 Y=85 K=0
CMYK
PROCESS
0.000000
90.000004
84.999996
0.000000
C=0 M=80 Y=95 K=0
CMYK
PROCESS
0.000000
80.000001
94.999999
0.000000
C=0 M=50 Y=100 K=0
CMYK
PROCESS
0.000000
50.000000
100.000000
0.000000
C=0 M=35 Y=85 K=0
CMYK
PROCESS
0.000000
35.000002
84.999996
0.000000
C=5 M=0 Y=90 K=0
CMYK
PROCESS
5.000001
0.000000
90.000004
0.000000
C=20 M=0 Y=100 K=0
CMYK
PROCESS
19.999999
0.000000
100.000000
0.000000
C=50 M=0 Y=100 K=0
CMYK
PROCESS
50.000000
0.000000
100.000000
0.000000
C=75 M=0 Y=100 K=0
CMYK
PROCESS
75.000000
0.000000
100.000000
0.000000
C=85 M=10 Y=100 K=10
CMYK
PROCESS
84.999996
10.000002
100.000000
10.000002
C=90 M=30 Y=95 K=30
CMYK
PROCESS
90.000004
30.000001
94.999999
30.000001
C=75 M=0 Y=75 K=0
CMYK
PROCESS
75.000000
0.000000
75.000000
0.000000
C=80 M=10 Y=45 K=0
CMYK
PROCESS
80.000001
10.000002
44.999999
0.000000
C=70 M=15 Y=0 K=0
CMYK
PROCESS
69.999999
14.999998
0.000000
0.000000
C=85 M=50 Y=0 K=0
CMYK
PROCESS
84.999996
50.000000
0.000000
0.000000
C=100 M=95 Y=5 K=0
CMYK
PROCESS
100.000000
94.999999
5.000001
0.000000
C=100 M=100 Y=25 K=25
CMYK
PROCESS
100.000000
100.000000
25.000000
25.000000
C=75 M=100 Y=0 K=0
CMYK
PROCESS
75.000000
100.000000
0.000000
0.000000
C=50 M=100 Y=0 K=0
CMYK
PROCESS
50.000000
100.000000
0.000000
0.000000
C=35 M=100 Y=35 K=10
CMYK
PROCESS
35.000002
100.000000
35.000002
10.000002
C=10 M=100 Y=50 K=0
CMYK
PROCESS
10.000002
100.000000
50.000000
0.000000
C=0 M=95 Y=20 K=0
CMYK
PROCESS
0.000000
94.999999
19.999999
0.000000
C=25 M=25 Y=40 K=0
CMYK
PROCESS
25.000000
25.000000
39.999998
0.000000
C=40 M=45 Y=50 K=5
CMYK
PROCESS
39.999998
44.999999
50.000000
5.000001
C=50 M=50 Y=60 K=25
CMYK
PROCESS
50.000000
50.000000
60.000002
25.000000
C=55 M=60 Y=65 K=40
CMYK
PROCESS
55.000001
60.000002
64.999998
39.999998
C=25 M=40 Y=65 K=0
CMYK
PROCESS
25.000000
39.999998
64.999998
0.000000
C=30 M=50 Y=75 K=10
CMYK
PROCESS
30.000001
50.000000
75.000000
10.000002
C=35 M=60 Y=80 K=25
CMYK
PROCESS
35.000002
60.000002
80.000001
25.000000
C=40 M=65 Y=90 K=35
CMYK
PROCESS
39.999998
64.999998
90.000004
35.000002
C=40 M=70 Y=100 K=50
CMYK
PROCESS
39.999998
69.999999
100.000000
50.000000
C=50 M=70 Y=80 K=70
CMYK
PROCESS
50.000000
69.999999
80.000001
69.999999
Grays
1
C=0 M=0 Y=0 K=100
CMYK
PROCESS
0.000000
0.000000
0.000000
100.000000
C=0 M=0 Y=0 K=90
CMYK
PROCESS
0.000000
0.000000
0.000000
89.999402
C=0 M=0 Y=0 K=80
CMYK
PROCESS
0.000000
0.000000
0.000000
79.998797
C=0 M=0 Y=0 K=70
CMYK
PROCESS
0.000000
0.000000
0.000000
69.999701
C=0 M=0 Y=0 K=60
CMYK
PROCESS
0.000000
0.000000
0.000000
59.999102
C=0 M=0 Y=0 K=50
CMYK
PROCESS
0.000000
0.000000
0.000000
50.000000
C=0 M=0 Y=0 K=40
CMYK
PROCESS
0.000000
0.000000
0.000000
39.999402
C=0 M=0 Y=0 K=30
CMYK
PROCESS
0.000000
0.000000
0.000000
29.998803
C=0 M=0 Y=0 K=20
CMYK
PROCESS
0.000000
0.000000
0.000000
19.999701
C=0 M=0 Y=0 K=10
CMYK
PROCESS
0.000000
0.000000
0.000000
9.999102
C=0 M=0 Y=0 K=5
CMYK
PROCESS
0.000000
0.000000
0.000000
4.998803
Brights
1
C=0 M=100 Y=100 K=0
CMYK
PROCESS
0.000000
100.000000
100.000000
0.000000
C=0 M=75 Y=100 K=0
CMYK
PROCESS
0.000000
75.000000
100.000000
0.000000
C=0 M=10 Y=95 K=0
CMYK
PROCESS
0.000000
10.000002
94.999999
0.000000
C=85 M=10 Y=100 K=0
CMYK
PROCESS
84.999996
10.000002
100.000000
0.000000
C=100 M=90 Y=0 K=0
CMYK
PROCESS
100.000000
90.000004
0.000000
0.000000
C=60 M=90 Y=0 K=0
CMYK
PROCESS
60.000002
90.000004
0.003099
0.003099
Adobe PDF library 9.90
endstream
endobj
3 0 obj
<>
endobj
5 0 obj
<>/ExtGState<>/ProcSet[/PDF/ImageC/ImageI]/Properties<>>>/XObject<>>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>>
endobj
6 0 obj
<>stream
HIL-Ru6PprqV*w6PH/234Գs 4D Br.gK>W / DA
endstream
endobj
9 0 obj
<>stream
HIFEA^\l9kؠ
D!s(^NΏ ۲ M 4 :d @ M 4 :d @ M 4 :d @ h@ t> T @ h@ t> T @ h@ t> 6 Ѐ `}
> 6 Ѐ } +V} `A ' ֣ :xR} `9ϪO F td bT @ϫO E td R^U X e> > } P} > ' :x_} `
' d
T @O ,s> T @;O ' :P} > P `W> U M td @i{O T :]} ' R} > P @ tpd @UO :8V} ' JR} > P} > W (x> zT @'O sd @5 S' 9W} 7?3=~c7 , @;'O= lɾ?+> ̥",> Lsd/גO S>SD ? `w^\ ? `=O #]7 0Εk}ÒO 6 T}o|> `wĜ} @