Patient Agreement for Treatment Sample Contracts

Patient agreement to investigation or treatment
Patient Agreement for Treatment • November 7th, 2019

Patient details (or pre-printed label) Patients NHS Number or Hospital Number Patients Surname / Family Name Patients First Name(s) Date of Birth Sex Responsible Healthcare Professional Job Title Special Requirements e.g. other language or other communication method

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PATIENT AGREEMENT FOR TREATMENT
Patient Agreement for Treatment • October 25th, 2022

IN CONSIDERATION of SAPW providing Patient with medical management, administrative, and follow-up services, Patient understands and agrees to the following:

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