Common use of AUTHORIZATION FOR MEDICAL TREATMENT Clause in Contracts

AUTHORIZATION FOR MEDICAL TREATMENT. I authorize Xxxxxx’x Extended Care Pharmacy, at the direction of my physician, to provide medications to me. I certify that no guarantee or promise, express or implied, has been made to me in conjunction with the medications that have been prescribed for me.

AUTHORIZATION FOR MEDICAL TREATMENT. I authorize Xxxxxx’x Extended Care Guardian Pharmacy, at the direction of my physician, to provide medications to me. I certify that no guarantee or promise, express or implied, has been made to me in conjunction with the medications that have been prescribed for me.

AUTHORIZATION FOR MEDICAL TREATMENT. I authorize Xxxxxx’x Extended Care PharmacyRight Dose, at the direction of my physician, to provide medications to me. I certify that no guarantee or promise, express or implied, has been made to me in conjunction with the medications that have been prescribed for me.

AUTHORIZATION FOR MEDICAL TREATMENT. I authorize Xxxxxx’x Extended Preferred Care Pharmacy, Pharmacy at the direction of my physician, to provide medications to me. I certify that no guarantee or promise, express or implied, has been made to me in conjunction with the medications that have been prescribed for me.

AUTHORIZATION FOR MEDICAL TREATMENT. I authorize Xxxxxx’x Extended Care Xxx’s Pharmacy, at the direction of my physician, to provide medications to me. I certify that no guarantee or promise, express or implied, has been made to me in conjunction with the medications that have been prescribed for me.