Authorizations, Release, Consents and AgreementsMarch 24th, 2017
FiledMarch 24th, 2017Consent to Treatment: I, the undersigned, as the patient or on behalf of the patient, do hereby consent to and authorize all diagnostic and therapeutic treatments considered necessary or advised in judgements of the treating physician. I am free to ask questions about such treatment and testing. I understand that no guarantee or assurance has been made as to the result that may be obtained.