Common Contracts
2 similar General Consent/Agreement to Outpatient Services contracts
General Consent/Agreement to Outpatient ServicesGeneral Consent/Agreement to Outpatient Services • December 11th, 2020
This form applies to all Anne Arundel Dermatology practice sites. This form must be completed by all new patients, at least once a year for established patients, and any time there are changes in patient name, address, phone or other insurance information. Ask patients about changes at each visit.
and Affiliate PracticesGeneral Consent/Agreement to Outpatient Services • August 27th, 2020
This form applies to all Anne Arundel Dermatology practice sites. This form must be completed by all new patients, at least once a year for established patients, and any time there are changes in patient name, address, phone or other insurance information. Ask patients about changes at each visit.
