Common use of Consent to Medical Treatment Clause in Contracts

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. 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 my parent or legal guardian and I am are 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. 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 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 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 staff and/or any physician or health-care provider involved in providing medical care.