Per Curiam.
The arresting officer testified that petitioner at first consented to submit to a chemical test for intoxication but upon arrival at the hospital where a blood specimen was to be taken, refused to sign a form presented to him, the officer describing it by stating that "the hospital has a form, a release form they sign, they have the person sign that they're taking the blood from." The nature and content of the form do not appear from the record...
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