Common Contracts
4 similar Release Agreement contracts
GENERAL, HIPAA, PHOTO | VIDEO INFORMED CONSENT FORM, AND RELEASE AGREEMENTRelease Agreement • April 25th, 2014
Aesthetic Facial Plastic Surgery, PLLC’s ("AFPS"), by and through Dr. Phillip Young, agree to provide treatment to: _ (“Patient” or “you”) [insert Patient’s name] pursuant to terms and conditions set forth under this General Informed Consent Form and Release Agreement (the “Agreement”) and such other consent or release AFPS may require from time to time.
GENERAL, HIPAA, PHOTO | VIDEO INFORMED CONSENT FORM, AND RELEASE AGREEMENTRelease Agreement • April 25th, 2014
Aesthetic Facial Plastic Surgery, PLLC’s ("AFPS"), by and through Dr. Phillip Young, agree to provide treatment to: _ (“Patient” or “you”) [insert Patient’s name] pursuant to terms and conditions set forth under this General Informed Consent Form and Release Agreement (the “Agreement”) and such other consent or release AFPS may require from time to time.
GENERAL, HIPAA, PHOTO | VIDEO INFORMED CONSENT FORM, AND RELEASE AGREEMENTRelease Agreement • April 25th, 2014
Aesthetic Facial Plastic Surgery, PLLC’s ("AFPS"), by and through Dr. Phillip Young, agree to provide treatment to: _ (“Patient” or “you”) [insert Patient’s name] pursuant to terms and conditions set forth under this General Informed Consent Form and Release Agreement (the “Agreement”) and such other consent or release AFPS may require from time to time.
GENERAL, HIPAA, PHOTO | VIDEO INFORMED CONSENT FORM, AND RELEASE AGREEMENTRelease Agreement • April 23rd, 2014
Aesthetic Facial Plastic Surgery, PLLC’s ("AFPS"), by and through Dr. Phillip Young, agree to provide treatment to: _ _ (“Patient” or “you”) [insert Patient’s name] pursuant to terms and conditions set forth under this General Informed Consent Form and Release Agreement (the “Agreement”) and such other consent or release AFPS may require from time to time.
