Medical Care Agreement Sample Contracts

School Agreement Protocol
Medical Care Agreement • December 1st, 2022

The arrangements set out below are intended to assist the school in achieving the least possible disruption to the pupil’s

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MEDICAL CARE AFTER AGE 18 AGREEMENT
Medical Care Agreement • July 12th, 2024

We are pleased to offer you the option to continue your medical care at New England Pediatrics after the age of 18 and/or after your graduation from high school. If you choose to continue your care with NEP these guidelines will apply:

School Agreement Protocol
Medical Care Agreement • November 14th, 2024

The arrangements set out below are intended to assist the school in achieving the least possible disruption to the pupil’s

□ Medical Care Agreement
Medical Care Agreement • July 17th, 2017

By participating in intercollegiate athletics at the University of Tennessee at Chattanooga (UTC), you have direct access to healthcare provided by the UTC Sports Medicine Department. By signing below, you are agreeing to the following with regard to medical decisions that could influence your ability to participate in athletics at UTC:

□ Medical Care Agreement
Medical Care Agreement • July 17th, 2017

By participating in intercollegiate athletics at the University of Tennessee at Chattanooga (UTC), you have direct access to healthcare provided by the UTC Sports Medicine Department. By signing below, you are agreeing to the following with regard to medical decisions that could influence your ability to participate in athletics at UTC:

Medical Care after Age 18 Agreement
Medical Care Agreement • January 10th, 2020

We are pleased to offer you the option to continue your medical care at Richmond Pediatric Associates after the age of 18 and/or after you graduation from high school. If you choose to continue you care with RPA these guidelines will apply:

Contract
Medical Care Agreement • February 1st, 2023

Medical Care Agreement created as Prescribing Guidance for use by Prescription Doctor Prescribers and Pharmacists Erectile Dysfunction Purpose: This guidance serves to outline the criteria for patient eligibility and suitability of ED treatment Condition Summary: Medication suitable for males over the age of 18, any patients under this age should be referred. A previous diagnosis of erectile dysfunction is not required. Consider symptom profile and ensure length is 3 months or greater. Symptoms of ED include ● Persistent inability to obtain or maintain an erection despite sexual stimulus● Persistent difficulty achieving an erection sufficient for penetration ED can be a secondary symptom of a wider issue such as cardiovascular problems, as such consider information provided and refer to the GP for further testing and assessment if required. Consider symptoms which require referral such as ● Angulation of penis● Peyronie's disease● Symptoms of prostate issues such as urinary issues, gra

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