Consent for Emergency Treatment. I authorize the University of Wisconsin-Whitewater and its designated representatives to consent, on my behalf, to any emergency medical/hospital care or treatment to be rendered upon the advice of any licensed physician. I agree to be responsible for all necessary charges incurred by any hospitalization or treatment rendered pursuant to this authorization.
Appears in 5 contracts
Samples: Assumption of Risk Agreement, Assumption of Risk Agreement, Assumption of Risk, Indemnification, Release, and Consent for Emergency Treatment