Patient Consent and Financial Agreement Sample Contracts

PATIENT CONSENT AND FINANCIAL AGREEMENT
Patient Consent and Financial Agreement • March 31st, 2021

Welcome to Kalispell Regional Healthcare (“KRH”). Thank you for choosing us for your care and treatment. KRH is an integrated health system that includes a number of organizations and Healthcare Services providers. Your consent covers services provided at the following KRH entities: Kalispell Regional Medical Center, Brendan House, The Summit, Kalispell Regional Behavioral Health, The Newman Center.

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PATIENT CONSENT AND FINANCIAL AGREEMENT
Patient Consent and Financial Agreement • June 25th, 2021

Welcome to Logan Health. Thank you for choosing us for your care and treatment. Logan Health is an integrated health system that includes a number of organizations and Healthcare Services providers. Your consent covers services provided at all Logan Health entities.

KALISPELL REGIONAL HEALTHCARE PATIENT CONSENT AND FINANCIAL AGREEMENT
Patient Consent and Financial Agreement • December 31st, 2018

Welcome to Kalispell Regional Healthcare (“KRH”). Thank you for choosing us for your care and treatment. KRH is an integrated health system that includes a number of organizations and Healthcare Services providers. A list of the KRH organizations and services offered is being provided to you along with this Patient Consent and Financial Agreement (“Agreement”).

PATIENT CONSENT AND FINANCIAL AGREEMENT
Patient Consent and Financial Agreement • February 8th, 2016

Welcome to Kalispell Regional Healthcare (“KRH”). Thank you for choosing us for your care and treatment. KRH is an integrated health system that includes a number of organizations and Healthcare Services providers. Your consent covers services provided at the following KRH entities: Kalispell Regional Medical Center, The HealthCenter, Brendan House, The Summit, Northwest Orthopedics and Sports Medicine, Kalispell Regional Behavioral Health, The Newman Center.

OASIS EYECARE PATIENT CONSENT AND FINANCIAL AGREEMENT
Patient Consent and Financial Agreement • March 21st, 2019
KALISPELL REGIONAL HEALTHCARE PATIENT CONSENT AND FINANCIAL AGREEMENT
Patient Consent and Financial Agreement • January 28th, 2015

Welcome to Kalispell Regional Healthcare (“KRH”). Thank You for choosing us for Your care and treatment. KRH is an integrated health system that includes a number of organizations and healthcare services providers. A list of the KRH organizations and services offered is being provided to You along with this Patient Consent and Financial Agreement (“Agreement”).

PATIENT CONSENT AND FINANCIAL AGREEMENT
Patient Consent and Financial Agreement • July 30th, 2018
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