Common Contracts
1 similar Consent for Treatment contracts
Consent for TreatmentConsent for Treatment • June 9th, 2018
I, , agree and consent to participate in health care services offered and provided by Oceanside Urology, LLC. If the patient is under the age of eighteen (18) or unable to consent to treatment, I attest that I have legal custody of the above named individual and I am authorized to initiate and consent for treatment and/or legally authorized to initiate and consent to treatment on behalf of this individual.
