Common Contracts

Financial Agreement/Registration Form

Financial Agreement • May 5th, 2020

• Contract Type
  Financial Agreement
• Filed
  May 5th, 2020

Permission for Treatment: Permission is hereby granted for physicians, residents, employees or agents of the USF College of Medicine (“USF Physicians Group”) (collectively, the “Provider”) to render the patient named below such medical and surgical treatment as is deemed necessary.

Financial Agreement/Registration Form

Financial Agreement • July 30th, 2015

• Contract Type
  Financial Agreement
• Filed
  July 30th, 2015

Permission for Treatment: Permission is hereby granted for physicians, residents, employees or agents of the USF College of Medicine (“USF Physicians Group”) (collectively, the “Provider”) to render the patient named below such medical and surgical treatment as is deemed necessary.