Common Contracts
3 similar Patient Agreement contracts
PATIENT AGREEMENTS AND ACKNOWLEDGEMENTPatient Agreement • April 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 ACKNOWLEDGEMENTPatient Agreement • August 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 ACKNOWLEDGEMENTPatient Agreement • August 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.
