Common Contracts
1 similar null contracts
Annual Patient Agreement Patient Name:October 3rd, 2016
Consent for Treatment: I have sought treatment from Teton County Hospital District (including St. John's Medical Center and/or its medical clinics) for one or more medical conditions. Risks of such treatment have been explained to my full satisfaction by St. John’s’ personnel, including my right to refuse any treatment to the extent permitted by law. The results of any treatment cannot be guaranteed. In full knowledge of such risks, I consent to all treatment performed by St. John's and independent providers for the condition(s) for which I have sought treatment within one (1) year of this Agreement, such as routine office visits, diagnostic procedures, and other treatment for such medical condition(s), and all related conditions, in one or more courses of treatment. I accept that I may be asked to sign additional Patient Agreements for specific services such as emergency care, surgery, or inpatient care received within a year of signing this Agreement. I agree to allow students, obser
