Consent to Medical Treatment. I authorize the School District and my child’s custodian to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment or hospital care which is deemed advisable by and is rendered under the general supervision of any licensed physician or surgeon, whether such treatment or diagnosis is rendered at the office of such physician or at a hospital.
Consent to Medical Treatment. In connection with any injury that I may sustain or illness or other medical conditions that I may experience during my presence at the ATA Event or the Venue or otherwise while engaging directly or indirectly in the ATA Event, I authorize and consent to receive any emergency first aid, medication, medical and/or surgical treatment deemed necessary by the attending personnel and/or the ATA Event staff and agents. I acknowledge that the Released Parties are under no obligation to provide such medical treatment or services, and the Released Parties do not warrant or make any representation concerning the adequacy or continuation of such medical services, nor can the Released Parties be deemed responsible or held liable for any claims arising out of the provision of such medical services or the failure to provide or to continue to provide such medical services. I further authorize the attending personnel and/or the ATA Event staff or agents to execute on my behalf any permission forms, consents or other appropriate documents relating to medical attention and to act on my behalf if not able or immediately available to do so and the same is urgent as determined in their sole discretion. I ACKNOWLEDGE AND AGREE THAT EMERGENCY ASSISTANCE AND/OR TREATMENT MAY BE RENDERED BY PERSONS WITH TRAINING OR EXPERIENCE WHICH MAY NOT BE ADEQUATE FOR CERTAIN MEDICAL SITUATIONS AND/OR THE INJURIES SUSTAINED BY ME, WHICH INJURIES MAY BE COMPOUNDED BY NEGLIGENT FIRST AID OR EMERGENCY RESPONSE OF THE RELEASED PARTIES OR OTHER INDIVIDUALS OR MEDICAL OR EMERGENCY PERSONNEL AND WAIVE ANY CLAIM IN RESPECT THEREOF IN ACCORDANCE WITH SECTION 6 BELOW. I expressly acknowledge that if the ATA Event and Venue are located some distance from medical facilities, that such distance may exacerbate any injury or condition sustained by me. I shall be responsible for all costs associated with such medical care and related transportation.
Consent to Medical Treatment. If the Adult User is injured or becomes ill while involved in Creative Space activities, the Adult User hereby authorizes PPLD and its employees, volunteers, agents, and representatives to obtain and consent to, on the Adult User’s behalf, medical care, including without limitation, medical treatment, hospitalization, ambulance transportation, anesthesia, and X-ray and other exams and tests. The undersigned Adult User agrees to pay all costs of such medical care and transportation.
Consent to Medical Treatment. In the event I suffer any injury or illness during the Program, I authorize the University’s representatives, at my expense, to secure necessary treatment, including, but not limited to, the administration of an anesthetic and surgery, and such medication as may be prescribed. It is further agreed that if my condition so requires, I may be returned to the United States at my expense. I further assume any and all risks associated with or arising from any such medical treatment and agree to waive any and all claims which I might assert against the University. Notwithstanding the foregoing, this consent to medical treatment does not constitute an obligation on the part of the University to secure any such treatment on my behalf.
Consent to Medical Treatment. I authorize the Sponsors to provide to me or my child/xxxx, customary medical assistance, transportation, and emergency medical services through medical personnel of the Sponsors choice in their sole discretion. I agree that this consent does not impose a duty upon the Sponsors to provide such assistance, transportation, or services.
Consent to Medical Treatment. I hereby give my consent to BYU to provide medical treatment to the Participant that BYU may, in its sole discretion, determine to be necessary in the event of illness (physical or mental) or accident. I understand and agree that I am responsible for any expenses incurred for such treatment, including, but not limited to costs of transportation to and treatment from any hospital or medical center. In case of an emergency, I understand and agree that efforts will be made to contact the individual listed as the emergency contact person at registration. In the event that this person cannot be reached, I hereby authorize the medical provider selected by the Program’s staff to secure proper treatment, including hospitalization, anesthesia, surgery, or medication. I also hereby authorize medical providers to disclose my protected health information to the Program’s staff and/or any physician or health-care provider involved in providing medical care.
Consent to Medical Treatment. If the Minor User is injured or becomes ill while involved in Makerspace Activities, the Parent/Guardian hereby authorizes PPLD and its employees, volunteers, agents, and representatives to obtain and consent to, on the Parent/Guardian’s behalf, medical care for the Minor User, including without limitation medical treatment, hospitalization, ambulance transportation, anesthesia, and X-ray and other exams and tests. The undersigned Parent/Guardian agrees to pay all costs of such medical care and transportation.
Consent to Medical Treatment. Student, and Parent or Guardian, each authorize Duke to seek emergency diagnostic or medical treatment in any setting in the event that Xxxx is aware, informed, and reasonably understands that Student requires emergency diagnostic or medical treatment while participating in the Program and that Student is unable to seek such treatment. Student, and Parent or Guardian, each further authorize Duke to authorize emergency diagnostic or medical treatment in the event that a medical professional advises that Student requires emergency diagnostic or medical treatment or care while participating in the Program and Student is unable to consent to such treatment. Student, and Parent or Guardian, acknowledge that Duke may have limited ability to evaluate the circumstances and may be relying on information provided by others. Xxxx will make a good-faith effort to contact Student’s emergency contact as identified by Student prior to seeking or authorizing care. If notification is not feasible under the circumstances, Student, and Parent or Guardian, each understand that Xxxx will inform Student’s emergency contact, as soon as reasonably practicable, of any diagnoses made and/or treatment or care provided. Student, and Parent or Guardian, each understand that by authorizing Duke to seek emergency diagnostic and/or medical treatment and by Xxxx agreeing to do so, no special relationship is created between Student and Duke or between Parent or Guardian and Duke.
Consent to Medical Treatment. I (We) hereby agree that by executing this AGREEMENT, I (We) give the JCCGV staff permission in the event of an emergency, to act on my behalf and/or on behalf of the Applicant(s) as the case may be, and for the physician in attendance to hospitalize and secure proper treatment that may be needed for me and/or the Applicant(s).
Consent to Medical Treatment. I agree that Houghton College or program personnel may provide to me customary medical assistance, transportation, and emergency medical services, through the medical personnel of their choice. I understand and agree that Houghton College assumes no responsibility for any injury or damage that might arise out of or in connection with such authorized medical treatment. I further agree that any expenses resulting from the provision of such medical services are my responsibility.
