Treatment AgreementTreatment Agreement • October 21st, 2011
Contract Type FiledOctober 21st, 2011I, the undersigned, hereby consent to medical care and treatment as deemed necessary and proper by the medical staff of Universal Rehab Services, INC. DBA Advanced Physical Therapy & Rehab. If patient is a minor under the age of 18, a parent or legal guardian must sign this agreement. I agree and give my consent for Physical Therapy Services or Consult/Wellness to be provided by Advanced Physical Therapy & Rehab staff.