Permission for Treatment definition

Permission for Treatment. The health history provided on this form is correct to the best of my knowledge. By my signature below, I hereby grant permission and authorize the provision of emergency medical treatment in the event of an emergency involving an illness or injury while participating in a visit to the University of Notre Dame. Release of Information: By my signature below, I authorize the University of Notre Dame to release medical information regarding the above named person to any person or entity to whom the University of Notre Dame refers the prospective student for medical treatment, including without limitation the University Health Service at Notre Dame. TO GRANT CONSENT I, (we) of , (City, State) the parent(s)/legal guardian(s) of , do hereby state that should an (Name of Child) emergency arise while the above named prospective student is visiting the University of Notre Dame, I, (we) do hereby authorize the University’s staff to obtain emergency medical treatment attention for him/her. I, (we) do hereby give consent to any necessary examination, anesthetic, medical diagnosis, surgery or treatment, and/or hospital care to be rendered under the general or special supervision and on the advice of any physician or surgeon licensed to practice medicine during the program period. ♦Family Doctor: ♦Family Dentist: Phone: Phone: ♦Medical Insurance: , , (ID Number) (Group Number) (Member’s Name) ♦Medical History: Allergies, if any, including medication and foods: ♦Chronic or existing diseases or medical problems (e.g. diabetes, epilepsy): ♦Medicines now being taken and dosage: ♦Date of last Tetanus injection or booster (if known): ♦Any physical restrictions: I, (we) can be reached at the following phone numbers(s) in an emergency: , ( ) (Name and Location) (Phone) , ( ) (Name and Location) (Phone) Dated (Signature(s) of Parent(s)/Legal Guardian(s))
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Permission for Treatment. The health history provided on this form is correct to the best of my knowledge. By my signature below, I hereby grant permission and authorize the provision of emergency medical treatment in the event of an emergency involving an illness or injury while participating in a visit to Holy Cross College.
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Permission for Treatment. The health history provided on this form is correct to the best of my (our) knowledge. By my (our) signature(s) below, I (we) hereby grant permission and authorize the provision of emergency medical treatment in the event of an emergency involving an illness or injury while participating in a visit to Holy Cross College. Release of Information: By my (our) signature(s) below, I (we) authorize Holy Cross College to release medical information regarding the above named person to any person or entity to whom the Holy Cross College refers the prospective student for medical treatment, including without limitation the Health Services at Holy Cross College. Electronic signatures not accepted. Parent or Guardian 1’s Name (printed) Parent or Guardian 2’s Name (printed) Parent or Guardian 1’s Signature Parent or Guardian 2’s Signature
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Examples of Permission for Treatment in a sentence

  • Permission for Treatment, Form 475-0814.b. The “Contractual Agreement,” Form 475-1833.10.6(4) During the interview with the resident finance office, the accounting technician will review the following items with the applicant or legal representative:a.

  • A copy of the Permission for Treatment and Liability Release Form must be signed and notarized by every family as part of registration.

  • Sexual harassment – I feel out of control.19TO CORRECT A SEXUAL HARASSMENT SITUATION A DISCIPLINE REFERRAL AND DISCIPLINE PROCEDURES WILL BE FOLLOWED.MEDICAL & HEALTH INFORMATIONAll students are required to have a NEW STUDENT PROFILE SHEET, with signed Permission for Treatment and emergency contact information, on file in the school nurse's office by the first day of school each year.

  • Permission for Treatment and Owner Responsibilities Owner understands that their pets share a common yard with pets of different ownership when at play or pool time.

  • This includes:, Parent/Student Cheer Constitution Acknowledgement, Extracurricular Standards of Behavior Contract, Emergency Care and Permission for Treatment, and Concussion Acknowledgement.

  • ACCOME adopts numerically derived eigenfunctions of the bounce- averaged, two-dimensional Fokker-Planck equation [15] and also incorporates the energy dif- fusion term [16] derived in a regime of particle energy larger than an initial injection energy.ONETWO : The guiding center orbit following MC code NUBEAM is employed in the 1.5D transport code ONETWO as an NBI solver.

  • Permission for Treatment I do hereby consent to any medical care which is deemed advisable or necessary by my physician and grant authority to DDA to administer and perform all examinations, treatments, diagnostic procedures and surgeries needed now or in the future.

  • THROAT CULTURESThe strep throat program will be made available for all students with a signed Permission for Treatment form, found on the Student Profile Form given out at registration.

  • I attest that I understand and agree to the above provisions and conditions of the Independent Contractor Affiliates Financial Agreement & Permission for Treatment, and I hereby authorize Coastal Counseling Center, P.C. and/or my provider (Independent Contractor associated with CCC), to provide counseling, psychotherapy, and/or medical treatment, for myself or my child by those duly licensed in the Commonwealth of Virginia.

  • Receipt of the Privacy Notice will be signed by the client and witnessed by a staff member on the Permission for Treatment (PC-237).

Related to Permission for Treatment

  • OPD treatment means the one in which the Insured visits a clinic / hospital or associated facility like a consultation room for diagnosis and treatment based on the advice of a Medical Practitioner. The Insured is not admitted as a day care or in-patient.

  • Continuing treatment means ongoing medical treatment or supervision by a health care provider.

  • Medical Treatment means examination and treatment by a Legally Qualified Physician for a condition which first manifested itself, worsened or became acute or had symptoms which would have prompted a reasonable person to seek diagnosis, care or treatment.

  • General treatment means treatment (including provision of goods and services) that is intended to manage or prevent a disease, injury or condition and is not “hospital treatment”.

  • Qualified residential treatment program means a program that (i) provides 24-hour residential

  • Hospital treatment means treatment (including provision of goods and services) that is intended to manage a disease, injury or condition and is provided at a hospital or arranged with the direct involvement of a hospital.

  • Day treatment means specialized treatment that is provided to:

  • Thermal treatment means the treatment of hazardous waste in a device which uses elevated temperatures as the primary means to change the chemical, physical, or biological character or composition of the hazardous waste. Examples of thermal treatment processes are incineration, molten salt, pyrolysis, calcination, wet air oxidation, and microwave discharge. (See also “incinerator” and “open burning”.)

  • Mechanical Treatment means the use of power saws, axes, or other approved tools to remove trees.

  • Residential treatment facility means a facility which provides a treatment program for behavioral health services and is established and operated in accordance with applicable state laws for residential treatment programs. RETAIL CLINIC is a medical clinic licensed to provide limited services, generally located in a retail store, supermarket or pharmacy. A retail clinic provides vaccinations and treats uncomplicated minor illnesses such as colds, ear infections, minor wounds or abrasions.

  • Confidential treatment in its entirety, and replace it with the following:

  • National Treatment NT shall not apply to any measure affecting the type of activities which may be conducted on land or the usage of land, including but not limited to, land zoning, land use and urban planning policies. Urban Redevelopment Authority Act, Chapter 340, 1985 Revised Edition

  • preferential tariff treatment means the rate of customs duties applicable to an originating good of the exporting Party in accordance with paragraph 1 of Article 16; and

  • Psychiatric residential treatment facility means a facility which

  • Overseas treatment means treatments or appliances provided or sourced from outside of Australia. This includes treatment on cruise ships inside or outside Australian waters.

  • Opioid treatment program means a detoxification or maintenance treatment program which is required to report patient identifying information to the central registry and which is located in the state.

  • Confidential Treatment Requested The redacted material has been separately filed with the Commission."

  • Substance abuse treatment means outpatient or inpatient services or participation in Alcoholics Anonymous or a similar program.

  • Medically Necessary Treatment means any treatment, tests, medication, or stay in hospital or part of a stay in hospital which:

  • Regulatory Capital Treatment Event means the good faith determination by the Corporation that, as a result of (i) any amendment to, or change in, the laws or regulations of the United States or any political subdivision of or in the United States that is enacted or becomes effective after the initial issuance of any share of Series F Preferred Stock, (ii) any proposed change in those laws or regulations that is announced after the initial issuance of any share of Series F Preferred Stock, or (iii) any official administrative decision or judicial decision or administrative action or other official pronouncement interpreting or applying those laws or regulations that is announced after the initial issuance of any share of Series F Preferred Stock, there is more than an insubstantial risk that the Corporation will not be entitled to treat the full liquidation value of the shares of Series F Preferred Stock then outstanding as “tier 1 capital” (or its equivalent) for purposes of the capital adequacy guidelines of the Board of Governors of the Federal Reserve System, Regulation Y, 12 CFR 225 (or, as and if applicable, the capital adequacy guidelines or regulations of any successor Appropriate Federal Banking Agency), as then in effect and applicable, for as long as any share of Series F Preferred Stock is outstanding.

  • Maltreatment means the neglect, abuse, or financial exploitation of a vulnerable adult.

  • Life-sustaining treatment means treatment that, based on reasonable medical judgment, sustains the life of a patient and without which the patient will die. The term includes both life-sustaining medications and artificial life support such as mechanical breathing machines, kidney dialysis treatment, and artificially administered nutrition and hydration. The term does not include the administration of pain management medication, the performance of a medical procedure necessary to provide comfort care, or any other medical care provided to alleviate a patient's pain.

  • Capital Treatment Event means the receipt by the Company and the Trust of an opinion of counsel experienced in such matters to the effect that, as a result of the occurrence of any amendment to, or change (including any announced prospective change) in, the laws, rules or regulations of the United States or any political subdivision thereof or therein, or as the result of any official or administrative pronouncement or action or decision interpreting or applying such laws, rules or regulations, which amendment or change is effective or which pronouncement, action or decision is announced on or after the date of original issuance of the Debentures, there is more than an insubstantial risk that the Company will not, within 90 days of the date of such opinion, be entitled to treat an amount equal to the aggregate liquidation amount of the Capital Securities as “Tier 1 Capital” (or its then equivalent) for purposes of the capital adequacy guidelines of the Federal Reserve, as then in effect and applicable to the Company (or if the Company is not a bank holding company, such guidelines applied to the Company as if the Company were subject to such guidelines); provided, however, that the inability of the Company to treat all or any portion of the liquidation amount of the Capital Securities as Tier l Capital shall not constitute the basis for a Capital Treatment Event, if such inability results from the Company having cumulative preferred stock, minority interests in consolidated subsidiaries, or any other class of security or interest which the Federal Reserve or OTS, as applicable, may now or hereafter accord Tier 1 Capital treatment in excess of the amount which may now or hereafter qualify for treatment as Tier 1 Capital under applicable capital adequacy guidelines; provided further, however, that the distribution of Debentures in connection with the liquidation of the Trust shall not in and of itself constitute a Capital Treatment Event unless such liquidation shall have occurred in connection with a Tax Event or an Investment Company Event.

  • Evaluation and treatment facility means any facility which

  • Behavioral health treatment means counseling and treatment programs, including applied behavior analysis, that are:

  • Unproven/ Experimental treatment means the treatment including drug experimental therapy which is not based on established medical practice in India.