Common Contracts

Financial Agreement/Registration Form

Financial Agreement • August 18th, 2016

• Contract Type
  Financial Agreement
• Filed
  August 18th, 2016

Permission for Treatment: Permission is hereby granted for physicians, residents, employees or agents of the USF Health Morsani College of Medicine (“USF Health Physicians Group”) (collectively, the “Provider”) to render the patient named below such medical and surgical treatment as is deemed necessary.

Financial Agreement/Registration Form

Financial Agreement • July 30th, 2015

• Contract Type
  Financial Agreement
• Filed
  July 30th, 2015

Permission for Treatment: Permission is hereby granted for physicians, residents, employees or agents of the USF College of Medicine (“USF Physicians Group”) (collectively, the “Provider”) to render the patient named below such medical and surgical treatment as is deemed necessary.