Common use of Consent for Emergency Treatment Clause in Contracts

Consent for Emergency Treatment. I authorize the University of Wisconsin – Extension - Ozaukee County 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 2 contracts

Samples: Indemnification & Liability, Indemnification Agreement

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Consent for Emergency Treatment. I authorize the University of Wisconsin – Extension - Ozaukee County Wisconsin-Milwaukee 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 AUTHORIZATIONagree to be responsible for all necessary charges incurred by any hospitalization or treatment rendered pursuant to this authorization.

Appears in 1 contract

Samples: Assumption of Risk, Indemnification, Release, and Consent for Emergency Treatment

Consent for Emergency Treatment. I authorize the University of Wisconsin – Extension - Ozaukee Xxxxxx County 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 AUTHORIZATIONagree to be responsible for all necessary charges incurred by any hospitalization or treatment rendered pursuant to this authorization.

Appears in 1 contract

Samples: Assumption of Risk Agreement

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Consent for Emergency Treatment. I authorize the University of Wisconsin – Extension - Ozaukee County Milwaukee 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 1 contract

Samples: Assumption of Risk, Indemnification, Release, and Consent for Emergency Treatment

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