AGREEMENT FOR TREATMENTAgreement for Treatment • February 26th, 2018
Contract Type FiledFebruary 26th, 2018Medical Consent for Treatment: The undersigned consents to the furnishing of any and all examinations, treatments, procedures, laboratory procedures, drugs and supplied to the patient as ordered or requested by the patient’s practitioner(s) and acknowledges that no guarantee or assurance has been made as to the results of such treatments, procedures, or examinations. Heart of Florida Health Center reserves the right to require an adult be present during the treatment of minors.