AUTHORIZATION FOR MEDICAL TREATMENT. I authorize my physician(s) and his/her designee(s), other individuals with privileges to provide services at BCDI, and their employees to provide medical services to me, including diagnostic tests and therapeutic procedures necessary for the diagnosis and treatment of my illness or condition. Treatment means the provision, coordination or management of your health care, including consultations between health care providers relating to your care and referrals for health care from one health care provider to another. I further authorize medical care, testing, and treatment as necessary in emergency situations to preserve my life and the health of persons involved in my care without first obtaining consent from me or my family. I understand that BCDI may be a teaching institution, providing clinical training opportunities for medical, nursing, and allied health student and residents. I consent to such students and residents being involved in my care and treatment and understand that they are not employees of my physician or BCDI.
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Samples: ilbcdi.org, ilbcdi.org, ilbcdi.org