Common Contracts
1 similar Appointment Cancellation Policy Agreement contracts
Appointment Cancellation Policy AgreementAppointment Cancellation Policy Agreement • April 22nd, 2019
This consent provides us with your permission to perform reasonable and necessary medical examinations, testing and treatment. By signing below, you are indicating that (1) you intend that this consent is continuing in nature even after a specific diagnosis has been made and treatment recommended; and (2) you consent to treatment at this office or any other satellite office under common ownership. The consent will remain fully effective until it is revoked in writing. You have the right at any time to discontinue services.
