PATIENT RELATIONSHIP AGREEMENT FORMPatient Relationship Agreement • September 16th, 2013
Contract Type FiledSeptember 16th, 2013Treatment Relationship: I agree to medical care, treatment and diagnostic testing as directed by the treating physician or his/her designee. Baylor College of Medicine (BCM) is a teaching institution and may have students and residents involved in my care. I may request and receive information on the specific affiliation of any healthcare provider involved in my care.