Conditions of Admission and/or Treatment Agreement Sample Contracts
This CONDITIONS OF ADMISSION and/or TREATMENT AGREEMENT (the “AGREEMENT”) applies to all services provided or visits started during this period: ___/___/___to ___/___/___. This Agreement expires no earlier than ___/___/___, and only when all...Conditions of Admission and/or Treatment Agreement • November 21st, 2018
This agreement applies to The Medical College of Wisconsin, Inc. (“MCW”) and Froedtert Health affiliates: Froedtert Memorial Lutheran Hospital, Inc.; Community Memorial Hospital of Menomonee Falls, Inc.; St. Joseph’s Community Hospital of West Bend, Inc.; Froedtert & the Medical College of Wisconsin Community Physicians, Inc.; West Bend Surgery Center, LLC; Drexel Surgery Center, LLC; and Froedtert Surgery Center, LLC. The term “Affiliate” in this Agreement includes MCW and the Froedtert Health affiliate organizations listed above.
