Consent to Medical Care. I hereby consent to treatment in the event of an emergency or other incident in which, in the reasonable judgment of on-site and other personnel, I require medical care. I further agree to pay all costs associated with such medical care and to indemnify and hold harmless the Released Parties (as defined below) from any costs or claims arising from such medical care.
Consent to Medical Care. In the event that the Undersigned Persons and/or the minor children named below (the "Minor") are injured or become ill, and the Undersigned Persons are unable to give consent to medical care, or cannot be reached to give consent for the Minor, each Undersigned Person for himself/herself or as the parents/guardians of the Minor, hereby authorize The Navigators, and its employees, volunteers, agents and representatives (collectively, the "Organization"), to obtain or consent to, on his/her behalf or on behalf of the Minor, medical care (including, by way of example, first-responders medical treatment; X-Ray examinations; anesthetic, dental, medical or diagnosis and treatment; and hospital care) deemed necessary or advisable by the Organization. In addition, any medical provider is authorized to surrender physical custody of the Minor to the Organization. Each Undersigned Xxxxxx agrees to fully pay all costs of medical or dental care incurred on his/her behalf or on behalf of the Minor by the Organization.
Consent to Medical Care. I certify that, with or without accommodation, I am in good health and I know of no medical reason why I am not able to participate in OHPIGS Circuit shows. I consent to first aid, emergency medical care and if necessary, admission to an accredited hospital when necessary for executing such care, and for treatment for injuries or illness that I may sustain while participating in any activity associated with the showing of swine. Photograph/Interview Release
Consent to Medical Care. By my signature or electronic signature below, I voluntarily consent that I (or my child) will participate in a mental health evaluation and treatment by clinical staff at Gladstone Psychiatry & Wellness, LLC. I understand that the practice of psychiatry is not an exact science, and that there are risks and benefits associated with receiving psychiatric treatment. I acknowledge and agree that no guarantees are made to me concerning the results and outcomes of the mental health evaluation and treatment rendered to me (or my child) by the clinical staff at Gladstone Psychiatry & Wellness, LLC.
Consent to Medical Care. I understand that Events may staffed by athletic trainers and other medical staff (each, a “Medical Professional”) to treat injuries. I, on behalf of Minor, consent to the administration of first aid, CPR and other medical treatment and services (including evacuation/transport) (collectively, “Medical Care”) by Medical Professionals, in the event of Minor’s injury or illness in connection with participating in the Event. I, ON BEHALF OF MINOR, HEREBY RELEASE AND INDEMNIFY EVENT ORGANIZERS AND MEDICAL PROFESSIONALS FROM ANY AND ALL LIABILITY OR CLAIMS ARISING OUT OF THE PROVISION OF MEDICAL CARE TO MINOR. I understand that no such Medical Care may be available, but if it is, I assume sole liability for any and all medical expenses incurred as a result of Minor’s participation in the Event. I additionally consent to allow Medical Professionals to share relevant information related to Xxxxx’s participation in the Event with 3STEP staff, coaches and other medical personnel.
Consent to Medical Care. If Contractor provides medical, dental, psychological or surgical treatment to a minor under this Contract, the treatment of a minor shall be provided only if consent to treatment is obtained pursuant to TEX. FAM. CODE, Chapter 32 relating to consent to treatment of a child by a non-parent or child or pursuant to other state law. If requirements of federal law relating to consent directly conflict with TEX. FAM. CODE, Chapter 32, federal law shall supersede state law.
Consent to Medical Care. In the event that the Minor Participant named below (the “Minor”) is injured or becomes ill, and the Undersigned Person cannot be reached to give consent, the Undersigned Person as the parents/guardians of the Minor, authorize The Navigators and its employees, volunteers, agents and representatives (collectively “the Organization”), to obtain or consent to, on behalf of the Minor, medical care (including, by way of example, first-responders medical treatment; X-Ray examinations; anesthetic, dental, medical or diagnosis and treatment; and hospital care) deemed necessary or advisable by the Organization. In addition, any medical provider is authorized to surrender physical custody of the Minor to the Organization. Each Undersigned Person agrees to fully pay all costs of medical or dental care incurred on behalf of the Minor by the Organization.
Consent to Medical Care. I authorize the School to supply medical care as needed for my child (including administration of allergy medications, Epi-Pens, etc., according to a prescription from a licensed practitioner) or other minor medical care or emergency as determined to be appropriate by the School Staff. I release and hold the School harmless from any liability which might arise from the provision of such medical care.
Consent to Medical Care. In the event that Volunteer require medical care during my volunteer service, I hereby grant permission (i) to School on Wheels, Inc. to select medical personnel to provide such medical care and (ii) to such medical personnel to administer such medical care to me as such medical personnel deem necessary. I expressly authorize School on Wheels, Inc. to disclose to such medical personnel any of my “protected health information” (as such term is defined under the Health Insurance Portability and Accountability Act of 1996) in connection with such medical care.
Consent to Medical Care. By my signature or electronic signature below, I hereby request and authorize the physicians and other healthcare providers of the Practice and their professional staff, to perform any medical diagnostic procedures and medical or surgical care which in their professional judgment is deemed necessary to diagnose and/or treat the conditions(s) that have brought about my seeking medical care services at the offices of the Practice. I understand that the practice of medicine is not an exact science, and that there are risks and benefits associated with receiving medical treatment. I acknowledge and agree that no guarantees are made to me concerning the results and outcomes of the medical examination and treatment rendered by the physicians and professional staff of the Practice. I further acknowledge that the Practice may, in its sole discretion, discharge me as a patient at any time for any reason or no reason, and that at such time as I am discharged, my medical records will be made available to me or shall be transferred to another provider at my request. I understand that if I have any questions or concerns regarding any aspect of treatment, I may ask my treating provider at any time.
