APPENDIX AJuly 19th, 2016
FiledJuly 19th, 2016AUTHORIZATION FOR PATIENT CARE: The undersigned patient and/or representative (“Undersigned”) hereby grants permission to the employees of the hospitals of the Catholic Health System (CHS) to render routine patient care, and to carry out the orders of the patient’s attending physician, consultants, associates, and assistants of the Undersigned’s choice. For the purpose of advancing medical knowledge, the Undersigned understands that the hospitals of CHS provide a teaching environment to medical, allied health, and religious students and consents to such students participating in the patient’s care.