Common Contracts
2 similar Financial Agreement contracts
Financial Agreement/Registration FormFinancial Agreement • 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 FormFinancial Agreement • 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.
