GENERAL, HIPAA, PHOTO | VIDEO INFORMED CONSENT FORM, AND RELEASE AGREEMENTGeneral Informed Consent Form and Release Agreement • April 25th, 2014
Aesthetic Facial Plastic Surgery, PLLC’s ("AFPS"), by and through Dr. Phillip Young, agree to provide treatment to: _ (“Patient” or “you”) [insert Patient’s name] pursuant to terms and conditions set forth under this General Informed Consent Form and Release Agreement (the “Agreement”) and such other consent or release AFPS may require from time to time.
GENERAL, HIPAA, PHOTO | VIDEO INFORMED CONSENT FORM, AND RELEASE AGREEMENTGeneral Informed Consent Form and Release Agreement • November 12th, 2015
Aesthetic Facial Body Plastic Surgery, PLLC’s ("AFBPS"), by and through Dr. Phillip Young, agree to provide treatment to: (“Patient” or “you”) [insert Patient’s name] pursuant to terms and conditions set forth under this General Informed Consent Form and Release Agreement (the “Agreement”) and such other consent or release AFBPS may require from time to time.
GENERAL INFORMED CONSENT FORM AND RELEASE AGREEMENTGeneral Informed Consent Form and Release Agreement • February 1st, 2014
Aesthetic Facial Plastic Surgery, PLLC’s ("AFPS"), by and through Dr. Phillip Young, agree to provide treatment to: _ _ (“Patient” or “you”) [insert Patient’s name] pursuant to terms and conditions set forth under this General Informed Consent Form and Release Agreement (the “Agreement”) and such other consent or release AFPS may require from time to time.
