Patient Consent Agreement Sample Contracts

Contract
Patient Consent Agreement • February 24th, 2012

THIS PATIENT CONSENT AGREEMENT applies to services provided by Community Health Network, Inc.; Indiana Heart Hospital, LLC; Community Hospital South, Inc.; Indiana Surgery Centers; Indianapolis Endoscopy Center; Community Endoscopy Center; Community Physician Network; Community Home Health Services, Inc.; and their subsidiaries and affiliates (each of these health care providers whether individually licensed or operating under the license of another hereinafter referred to collectively as “Community”).

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PATIENT CONSENT AGREEMENT
Patient Consent Agreement • December 19th, 2020
Contract
Patient Consent Agreement • April 23rd, 2021

THIS PATIENT CONSENT AGREEMENT applies to all services provided by Community Health Network, Inc., Community Hospital North, Community Hospital East, Community Hospital South, Community Heart and Vascular Hospital (a facility of Community Hospital East), Community Howard Regional Health, Community Hospital Anderson, Community Physician Network, Community Home Health, Community Surgery Center North, Community Surgery Center East, Community Surgery Center South, Community Surgery Center Hamilton, Community Surgery Center Northwest, Community Surgery Center Howard, Community Surgery Center Plus, Community Endoscopy Center Indianapolis, Community Digestive Center Anderson and Figleaf Boutique (each of these health care providers whether individually licensed or operating under the license of another hereinafter referred to collectively as “Community”). This Patient Consent Agreement covers all services provided by Community including, but not limited to, in-person, virtual, telephone and e

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