Additional Consents to Treatment for Ambulatory Surgical and other Procedures Sample Clauses

Additional Consents to Treatment for Ambulatory Surgical and other Procedures. 1. For myself or for the patient named below, I voluntarily consent to care as a patient at Certified Dermatologists and authorize the administration and performance of all medical treatment and procedures, the use and administration of any pharmaceutical products including therapeutic agents, anesthesia and/or anesthetic agents and the use of any medically accepted diagnostic procedures that may be prescribed and deemed appropriate and necessary by the attending physician or associates or assistants of his or her choice. 2. I further authorize Certified Dermatologists personnel to take samples, specimens, and cultures, to perform medically necessary laboratory and diagnostic tests and procedures and dispose of such in the customary fashion, and to take such precautions as necessary for my treatment and safety, or the treatment and safety of the patient named below, and the safety of others. 3. I understand that the practice of medicine and surgery is not an exact science and acknowledge that no guarantees have been made to me concerning the outcome of the medical or surgical treatment or examination to be rendered at Certified Dermatologists. I understand that there may be some risks from some medicines if I am, or the below named patient is, pregnant. I know that it is my responsibility to discuss possible pregnancy with the physicians before examination or treatment. 4. I understand that if I, or the patient named below, leave the Certified Dermatologists facility against the advice of any physician or refuse treatment or medication, Xxxxxxx X Xxxxx MD and Xxxxxxxxx X Xxx MD LLC and Xxxxxxx X Xxx MD and Xxxx X X Xxx MD Inc are not responsible for any ill effect the decision may cause.

Additional Consents to Treatment for Ambulatory Surgical and other Procedures. (1) For myself or for the patient named below, I voluntarily consent to care as a patient at UC Health and consent to and authorize the administration and performance of all medical treatment and procedures, the use and administration of any pharmaceutical products including contrast media, therapeutic agents, anesthesia and/or anesthetic agents and the use of any medically accepted diagnostic procedures that may be prescribed and deemed appropriate and necessary by the attending physician or associates or assistants of his or her choice. (2) I further authorize UC Health personnel to take samples, specimens and cultures, to perform medically necessary laboratory, diagnostic tests and procedures and dispose of such in the customary fashion, and to take such precautions as may be necessary for my treatment and safety, or the treatment and safety of the patient named below, and the safety of others. (3) I understand that the practice of medicine and surgery is not an exact science and acknowledge that no guarantees have been made to me concerning the outcome of the medical or surgical treatment or examination to be rendered at UC Health. I understand that there may be some risks from radiation (X-rays) and some medicines if I am, or the below named patient is, pregnant. I know that it is my responsibility to discuss possible pregnancy with the physicians and to advise the technician before an exam. (4) I understand that if I, or the patient named below, leave the UC Health facility against the advice of any physician or refuse treatment or medication, UC Health is not responsible for any ill effect the decision may cause.

Additional Consents to Treatment for Ambulatory Surgical and other Procedures. 1. For myself or for the paﳳent named below, I voluntarily consent to care as a paﳳent at Cerﳳfied Dermatologists and authorize the administraﳳon and performance of all medical treatment and procedures, the use and administraﳳon of any pharmaceuﳳcal products including therapeuﳳc agents, anesthesia and/or anestheﳳc agents and the use of any medically accepted diagnosﳳc procedures that may be prescribed and deemed appropriate and necessary by the aﹷending physician or associates or assistants of his or her choice. 2. I further authorize Cerﳳfied Dermatologists personnel to take samples, specimens, and cultures, to perform medically necessary laboratory and diagnosﳳc tests and procedures and dispose of such in the customary fashion, and to take such precauﳳons as necessary for my treatment and safety, or the treatment and safety of the paﳳent named below, and the safety of others. 3. I understand that the pracﳳce of medicine and surgery is not an exact science and acknowledge that no guarantees have been made to me concerning the outcome of the medical or surgical treatment or examinaﳳon to be rendered at Cerﳳfied Dermatologists. I understand that there may be some risks from some medicines if I am, or the below named paﳳent is, pregnant. I know that it is my responsibility to discuss possible pregnancy with the physicians before examinaﳳon or treatment. 4. I understand that if I, or the paﳳent named below, leave the Cerﳳfied Dermatologists facility against the advice of any physician or refuse treatment or medicaﳳon, Xxxxxxx X Xxxxx MD and Chrisﳳne C Tam MD LLC and Xxxxxxx X Xxx MD and Xxxx X X Xxx MD Inc are not responsible for any ill effect the decision may cause.