Common Contracts
3 similar And Release Agreement contracts
GENERAL, HIPAA, PHOTO | VIDEO INFORMED CONSENT FORM, AND RELEASE AGREEMENTAnd Release Agreement • November 12th, 2015
Aesthetic Facial Body Plastic Surgery, PLLC’s ("AFBPS"), by and through Dr. Phillip Young, agree to provide treatment to: (“Patient” or “you”) [insert Patient’s name] pursuant to terms and conditions set forth under this General Informed Consent Form and Release Agreement (the “Agreement”) and such other consent or release AFBPS may require from time to time.
GENERAL, HIPAA, PHOTO | VIDEO INFORMED CONSENT FORM, AND RELEASE AGREEMENTAnd Release Agreement • November 12th, 2015
Aesthetic Facial Body Plastic Surgery, PLLC’s ("AFBPS"), by and through Dr. Phillip Young, agree to provide treatment to: (“Patient” or “you”) [insert Patient’s name] pursuant to terms and conditions set forth under this General Informed Consent Form and Release Agreement (the “Agreement”) and such other consent or release AFBPS may require from time to time.
GENERAL, HIPAA, PHOTO | VIDEO INFORMED CONSENT FORM, AND RELEASE AGREEMENTAnd Release Agreement • November 12th, 2015
Aesthetic Facial Body Plastic Surgery, PLLC’s ("AFBPS"), by and through Dr. Phillip Young, agree to provide treatment to: (“Patient” or “you”) [insert Patient’s name] pursuant to terms and conditions set forth under this General Informed Consent Form and Release Agreement (the “Agreement”) and such other consent or release AFBPS may require from time to time.
