Common Contracts
3 similar null contracts
PATIENT AGREEMENTS AND ACKNOWLEDGEMENTApril 4th, 2022
Kiamichi Family Medical Center, Inc. (KFMC) and its personnel are hereby authorized to administer any medical, diagnostic or therapeutic treatment as may be deemed necessary or advisable. I represent to KFMC that I have the right to consent or refuse consent, to any proposed procedure or therapeutic course, absent emergency or extraordinary circumstances.
PATIENT AGREEMENTS AND ACKNOWLEDGEMENTAugust 25th, 2014
Kiamichi Family Medical Center, Inc. (KFMC) and its personnel are hereby authorized to administer any medical, diagnostic or therapeutic treatment as may be deemed necessary or advisable. I represent to KFMC that I have the right to consent or refuse consent, to any proposed procedure or therapeutic course, absent emergency or extraordinary circumstances.
PATIENT AGREEMENTS AND ACKNOWLEDGEMENTAugust 25th, 2014
Kiamichi Family Medical Center, Inc. (KFMC) and its personnel are hereby authorized to administer any medical, diagnostic or therapeutic treatment as may be deemed necessary or advisable. I represent to KFMC that I have the right to consent or refuse consent, to any proposed procedure or therapeutic course, absent emergency or extraordinary circumstances.
