General Consent and Financial AgreementGeneral Consent 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.
GENERAL CONSENT AND FINANCIAL AGREEMENTGeneral Consent and Financial Agreement • October 6th, 2018
TERMS AND CONDITONS OF SERVICE: GENERAL CONSENT AND FINANCIAL AGREEMENTGeneral Consent and Financial Agreement • March 20th, 2020
Washington Regional – Who we are; Purpose of this Agreement. Thank you for seeking medical care from Washington Regional Medical System, an integrated health system made up of various entities, including (but not necessarily limited to) the general hospital known as Washington Regional Medical Center (“WRMC”) and each of the respective hospital outpatient departments, specialty providers, and physician clinics that are specifically identified in the Washington Regional Notice of Privacy Practices, which all will be collectively referred to herein as “Washington Regional.” This Consent to Medical Care Agreement authorizes Washington Regional to provide you medical care, share your health information and seek payment for the services provided. In this document, “Patient” means the person receiving treatment. “Patient Representative” means any person acting on behalf of the Patient and signing as the Patient’s lawful representative. Use of the word “I”, “you”, “your” or “me” may in contex
