Common Contracts

2 similar Care Agreement contracts

CARE AGREEMENT
Care Agreement • October 2nd, 2019

This form contains facts you should know about your health care at UW Medicine and from Children’s University Medical Group, University of Washington Dentists and Oral Surgeons, and Seattle Cancer Care Alliance. If there is any part of this form that is unclear you can ask questions about it. At the bottom of the form there is a place for you to sign your name so that we know you have read this form (or had it read to you) and agree to receive health care from us.

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CARE AGREEMENT
Care Agreement • October 2nd, 2019

This form contains facts you should know about your health care at UW Medicine and from Children’s University Medical Group, University of Washington Dentists and Oral Surgeons, and Seattle Cancer Care Alliance. If there is any part of this form that is unclear you can ask questions about it. At the bottom of the form there is a place for you to sign your name so that we know you have read this form (or had it read to you) and agree to receive health care from us.

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