Common Contracts
1 similar Law and Jurisdiction Agreement contracts
MCMASTER STUDENT WELLNESS CENTRE PATIENT AGREEMENTLaw and Jurisdiction Agreement • March 25th, 2022 • Ontario
PLEASE SIGN BELOW TO INDICATE THAT YOU (THE PATIENT) UNDERSTAND AND ACCEPT THE TERMS OUTLINED ON PAGES 2, 3, AND 4. Signature Name on health card (first - middle - last) Date of birth (YYYY-MM-DD) Telephone number (### - ### - ####) McMaster email address Student number Program / faculty Date signed (YYYY-MM-DD)
