WP E-Signature by Approve Me - Sign Documents Using WordPress -

medical-history-form-new-document

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

03/06/2024 17:00 BST

medical-history-form-new-document Uploaded by SmileBay In Lymm - mahyar.bettany@gmail.com IP 72.208.177.122