Common Contracts
1 similar Consent for Services contracts
Douglas C. Walker, D.O., P.C., 300 E 1400 S, Garland, UT 84312 Phone (435) 257-3684Consent for Services • September 2nd, 2022
As Either the Patient or the legally authorized representative of the Patient, on behalf of the Patient receiving care at Douglas C. Walker, D.O., P.C. facility, I make the following consents, understandings, and agreements on my own behalf and on behalf of the Patient, in partial consideration of health care services to be provided to the Patient in the facility.
