PATIENT AGREEMENTPatient Agreement • April 14th, 2008
Contract Type FiledApril 14th, 2008Office Practice/Clinic personnel at this facility are hereby authorized to administer any medical, diagnostic or therapeutic treatment, as may be deemed necessary or advisable. I have the right to consent or refuse consent, to any proposed procedure or therapeutic course, absent emergency or extraordinary circumstances.
PATIENT AGREEMENTPatient Agreement • April 14th, 2008
Contract Type FiledApril 14th, 2008Office Practice/Clinic personnel at this facility are hereby authorized to administer any medical, diagnostic or therapeutic treatment, as may be deemed necessary or advisable. I have the right to consent or refuse consent, to any proposed procedure or therapeutic course, absent emergency or extraordinary circumstances.