Common use of Consent to Treatment Clause in Contracts

Consent to Treatment. I consent to receive medical and/or cosmetic health care services provided by Xxxx Xxxxxxx Dermatology (AADerm”) entities. I understand that such services may include but are not limited to examination and treatment of skin disorders, performing cryosurgery, shave biopsies, punch biopsies or other minimally invasive testing on lesions, and sending specimens to a pathology or other lab for diagnosis. I authorize the examination, use, storage and disposal of all tissue, fluids, or specimens removed from my body. I acknowledge that no warranty or guarantee has been made to me as to result or cure. I understand that I could be tested for HIV, and have the right to opt out. I understand that my consent will be requested for HIV and other testing in case of an unintended exposure of a healthcare worker.

Appears in 3 contracts

Samples: aadermatology.com, static1.squarespace.com, aadermatology.com

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Consent to Treatment. I consent to receive medical and/or cosmetic health care services provided by Xxxx Xxxxxxx Dermatology (AADermAAD”) entities. I understand that such services may include but are not limited to examination and treatment of skin disorders, performing cryosurgery, shave biopsies, punch biopsies or other minimally invasive testing on lesions, and sending specimens to a pathology or other lab for diagnosis. I authorize the examination, use, storage and disposal of all tissue, fluids, or specimens removed from my body. I acknowledge that no warranty or guarantee has been made to me as to result or cure. I understand that I could be tested for HIV, and have the right to opt out. I understand that my consent will be requested for HIV and other testing in case of an unintended exposure of a healthcare worker.

Appears in 2 contracts

Samples: aadermatology.com, aadermatology.com

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Consent to Treatment. I consent to receive medical and/or cosmetic health care services provided by Xxxx Xxxxxxx Dermatology (AADermAAD”) entities. I understand that such services may include may include but are not limited to examination and treatment of skin disorders, performing cryosurgery, shave biopsies, punch biopsies or other minimally invasive testing on lesions, and sending specimens to a pathology or other lab for diagnosis. I authorize the examination, use, storage and disposal of all tissue, fluids, or specimens removed from my body. I acknowledge that no warranty or guarantee has been made to me as to result or cure. I understand that I could be tested for HIV, and have the right to opt out. I understand that my consent will be requested for HIV and other testing in case of an unintended exposure of a healthcare worker.

Appears in 1 contract

Samples: General Agreement

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