Examples of Enrolment Form in a sentence
In the event that the FHN Physician is a Medicine Professional Corporation, patients shall be assigned to an individual voting shareholder designated by that corporation to act as its agent for the purposes of enrolment, including completing with the patient the Enrolment Form.
During the term of this Agreement, patients who are invited to enrol in accordance with sections 3.1 and 3.2 shall be provided with the patient Enrolment Form and Consent to Release Personal Information, in the form appended hereto as Appendix A.
The Enrolment Form shall become effective upon its completion and signing by the patient and the acknowledgement of the FHN Physician thereon.
A FHN Physician shall not charge a patient or anyone acting on their behalf for processing an Enrolment Form, for adding or removing a person as an Enrolled Patient, or for processing information changes.
Upon the full completion of the Enrolment Form by the patient and the FHN Physician, the FHN Physician shall provide a copy to the patient.