Permission to Treat Sample Clauses

Permission to Treat. I understand that by signing below I authorize TCFAP to provide medical care reasonable by today’s standards. Initial for Permission to Treat *I understand that by signing this agreement, I agree to all of the terms and conditions described above, even if I have not not signed my intials at the end of each section.*
AutoNDA by SimpleDocs
Permission to Treat. St. Mark’s School’s policy is to give parents prompt notice of a student’s illness or injury, and to obtain approval of procedures to be followed thereafter. However, emergency situations may arise where delay involved in attempting to contact parents may jeopardize a student’s recovery. I hereby consent for St. Mark’s School personnel to obtain medical care for my daughter/son in the event of illness or injury as they judge to be in my son/daughter’s best interests, and to exchange pertinent personal medical history and/or health insurance information as necessary for the provision of medical services. Parent/Guardian signature: Date:
Permission to Treat. I hereby authorize and give my consent to any licensed health professional to perform upon or administer to (student’s name) any reasonable, necessary treatment. In the case of a psychiatric and/or psychological emergencies involving psychological treatment, parental notification for treatment beyond that responsive to the emergency will be requested. This authorization is intended to include emergency treatment, immunizations, injections, and minor operations and procedures. I also give permission to administer whatever anesthetic may be necessary or advisable during medical or surgical procedures. I agree to assume all costs related to such treatment. I authorize my insurance company to pay benefits to any licensed health service provider. Also, I authorize the disclosure of medical information to my insurance company for the purpose of this claim. This permission is only valid while the student is attending the Cogito World Education/Colibri Group LLC summer 2017 SAT camp.
Permission to Treat. I understand that by signing below I authorize SP to provide medical care reasonable by today’s standards.
Permission to Treat. I understand every effort will be made to contact me in the case of an emergency. If needed, Trinity staff will obtain immediate medical attention for my child. Efforts will be made to obtain treatment from the providers listed on my child’s emergency card. Yes No Photograph Release Permission I give permission for any picture or video taken of my child to be used in any type of educational publication, in newspapers, on bulletin boards, or part of the classroom to be videotaped for Trinity training or marketing purposes. Yes No Topical Applications The Trinity staff has permission to administer the following applications, if needed, for my child during the Trinity Trailblazer program. My child has not had an allergic reaction, which I am aware of, to the products that I am supplying and giving permission to apply. Yes No Vaseline/Petroleum jelly /Lip balm Please list brand name Insect Repellent Please list brand name Sun-Block (SPF 30 or higher) Please list brand name Parent/Guardian Signature Date
Permission to Treat. I hereby give permission to trained medical professionals to administer emergency medical treatment to my child should sickness or illness occur in my absence: Yes Student Information: First Name No Last Name Date of Birth Age Class Name 1. 2. 3.
Permission to Treat. I, , as the patient or parent/guardian of the patient do hereby give Premier Glaucoma & Eye Center permission to treat for any vision or other problems related to his/her eyes using whatever ophthalmic testing and treatments deemed medically necessary. This permission is valid for one year form the date on this form.
AutoNDA by SimpleDocs
Permission to Treat. I understand every effort will be made to contact me in the case of an emergency. If needed, Trinity staff will obtain immediate medical attention for my child. Efforts will be made to obtain treatment from the providers listed on my child’s emergency card. Yes No Photograph Release Permission I give permission for any picture or video taken of my child to be used in any type of educational publication, in newspapers, on bulletin boards, or part of the classroom to be videotaped for Trinity training or marketing purposes. Yes No Parent/Guardian Signature Date

Related to Permission to Treat

  • Permission to Use References in this Agreement to permission to use the Route shall, except where the contrary is indicated, be construed to mean permission:-

  • Consent to Treatment The Boys Town Behavioral Health Clinic works with children and their families to identify and treat such issues as depression, anxiety, school problems, and ADHD. The Behavioral Health Clinic offers specialized services, including behavioral and psychological assessments as well as counseling. I, knowing that the client has a condition requiring diagnosis and treatment, do hereby voluntarily consent to such treatment by the Behavioral Health Clinic staff, assistants, or designees as is, in their judgment, necessary. I further acknowledge that no guarantees have been made to me as to the results of treatment. I authorize you to provide reasonable and proper care by today’s standards. If applicable, I have informed my treating provider of my mental health advance directives and have provided a copy for mental health decision-making that will become part of my treatment record. CONTACT BY TELEPHONE and EMAIL‌

  • Authorization to Transfer Funds Customer hereby agrees that XXXXX.xxx may at any time and from time to time, in the sole discretion of XXXXX.xxx, apply and transfer from any of Customer’s Accounts with XXXXX.xxx to any of Customer’s other accounts, whether held at XXXXX.xxx or other approved financial institutions, any of the Contracts, currencies, securities or other property of Customer held either individually or jointly with others to another account.

  • Authorization to Transact Business in the Commonwealth In order to contract with Xxxxxxxxx County, contractors organized as a stock or nonstock corporation, limited liability company, business trust, or limited partnership or registered as a registered limited liability partnership shall be authorized to transact business in the Commonwealth as a domestic or foreign business entity if so required by Code of Virginia, Title 13.1 or Title 50 or as otherwise required by law. Pursuant to competitive sealed bidding or competitive negotiation, a bidder or offeror organized or authorized to transact business in the Commonwealth pursuant to Title 13.1 or Title 50 shall include in its bid or proposal the identification number issued to it by the State Corporation Commission. Any bidder or offeror that is not required to be authorized to transact business in the Commonwealth as a foreign business entity under Title 13.1 or Title 50 or as otherwise required by law shall include in its bid or proposal a statement describing why the bidder or offeror is not required to be so authorized. Any bidder or offeror that fails to provide the required information shall not be awarded a contract unless a waiver of this requirement is granted by the County Administrator. Any business entity as described above that enters into a contract with a public body pursuant to the Virginia Public Procurement Act shall not allow its existence to lapse or its certificate of authority or registration to transact business in the Commonwealth to be revoked or cancelled at anytime during the contract. Xxxxxxxxx County may void any contract with a business entity if that entity fails to remain in compliance with the provisions of this section.

  • Notification to Union The Hospital will provide the union with a list, monthly of all hirings, lay-offs, recalls and terminations within the bargaining unit where such information is available or becomes readily available through the Hospital's payroll system."

  • Permission to Leave Work The Employer agrees that stewards shall not be hindered, coerced, restrained or interfered with in any way in the performance of their duties, while investigating disputes and presenting adjustments as provided in this Article. The Union recognizes that each xxxxxxx is employed by the Employer and that they will not leave their work during working hours except to perform their duties under this Agreement. Therefore, no xxxxxxx shall leave their work without permission of their supervisor, which will not be unreasonably withheld.

  • Failure of Allottee to take Possession of [Apartment/Plot] Upon receiving a written intimation from the Promoter as per para 7.2, the Allottee shall take possession of the [Apartment/Plot] from the Promoter by executing necessary indemnities, undertakings and such other documentation as prescribed in this Agreement, and the Promoter shall give possession of the [Apartment/Plot] to the allottee. In case the Allottee fails to take possession within the time provided in para 7.2, such Allottee shall continue to be liable to pay maintenance charges as specified in para 7.2.

  • Powers, xxxxx and consents 1.1 It is duly incorporated under the law of England and Wales and has the corporate power to own its assets and to carry on the business which it conducts or proposes to conduct.

  • Failure of Allottee to take Possession of Apartment Upon receiving a written intimation from the Promoter as per para 7.2, the Allottee shall take possession of the Apartment from the Promoter by executing necessary indemnities, undertakings and such other documentation as prescribed in this Agreement, and the Promoter shall give possession of the Apartment to the allottee. In case the Allottee fails to take possession within the time provided in para 7.2, such Allottee shall continue to be liable to pay maintenance charges as specified in para 7.2.

  • Waivers and Consents The terms and provisions of this Agreement may be waived, or consent for the departure therefrom granted, only by a written document executed by the party entitled to the benefits of such terms or provisions. No such waiver or consent shall be deemed to be or shall constitute a waiver or consent with respect to any other terms or provisions of this Agreement, whether or not similar. Each such waiver or consent shall be effective only in the specific instance and for the purpose for which it was given, and shall not constitute a continuing waiver or consent.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!