GENERAL INFORMED CONSENT FORM AND RELEASE AGREEMENTGeneral Informed Consent Form and Release Agreement • February 1st, 2014
Contract Type FiledFebruary 1st, 2014Aesthetic Facial Plastic Surgery, PLLC’s ("AFPS"), by and through Dr. Phillip Young, agree to provide treatment to: _ _ (“Patient” or “you”) [insert Patient’s name] pursuant to terms and conditions set forth under this General Informed Consent Form and Release Agreement (the “Agreement”) and such other consent or release AFPS may require from time to time.