OASIS EYECARE PATIENT CONSENT AND FINANCIAL AGREEMENTConsent and Financial Agreement • March 21st, 2019
General Consent and Financial AgreementConsent and Financial Agreement • September 15th, 2020
HealthNet providers and other staff may give me or my child health care, like exams, tests, and ways to improve my or my child’s health. I know that HealthNet cannot promise health results or cures. I know that students in health care learn from HealthNet providers. It is okay if a health care student gives me or my child medical care or services under the guidance of HealthNet’s licensed providers.
Medical Consent and Financial Agreement for TreatmentConsent and Financial Agreement • May 18th, 2016
I hereby consent to evaluation and treatment by my physical therapist at Results Neck & Back Therapy. I understand that as part of my healthcare, this organization originates and maintains health records describing my health history, symptoms, examinations, test results, diagnoses, treatment, and any plans for future care or treatment. I understand that it is my responsibility to follow treatment plans and set up follow up treatment appointments.
CONSENT AND FINANCIAL AGREEMENTConsent and Financial Agreement • December 15th, 2020
PATIENT CONSENT AND FINANCIAL AGREEMENTConsent and Financial Agreement • July 30th, 2018
