By signing below, I hereby consent that I have read and agree to the following statements.
1. I voluntarily consent to any and all health care treatment and diagnostic procedures provided by this clinic and its associated physicians, clinicians, and other personnel. I am aware that the practice of medicine and other health care professions is not an exact science and I further state that I understand that no guarantee has been or can be made as to the results of the treatments or examinations at this clinic.
2. I agree to be contacted via email or SMS with information related to my visit, like a patient portal invitation, post-visit satisfaction survey, appointment or checkup reminders, health tips, or new services that relate to me or my family.
3. I authorize payment of medical benefits to this clinic or their designee for services rendered.
4. I give permission to obtain all my medication/prescription history when using an electronic system to process prescriptions for my medical treatment.