General Consent to Treatment: By signing below, I authorize all health care providers including physicians, nurse practitioners, medical assistants and other medical staff under the direct supervision of licensed providers at Integr8 Health, to conduct examinations, diagnostic tests and procedures to assess my health care conditions, and to provide care, services or therapies necessary to effectively diagnose and treat me. I understand that it is the responsibility of my treating health care provider(s) to explain to me the nature of proposed care, treatment, services, prescribed medications, suggested interventions, or procedures. Before I undergo particular procedures or tests, my provider(s) will explain the potential benefits, risks, or side effects, including potential problems that might occur during recuperation, the likelihood of achieving goals, reasonable alternatives, and the relevant risks, benefits, and side effects related to alternatives, including the possible results of not choosing to undergo the recommended treatment. a. Right to Refuse Treatment: In giving my general consent to treatment, I understand that I retain the right to refuse any particular examination, test, procedure, treatment, therapy or medication recommended or deemed medically necessary by my treating health care provider(s). b. Medical Education and Participation of Students and Trainees: I understand that Integr8 Health is dedicated to medical education, and that authorized, appropriately supervised students and trainees may observe and assist in my diagnosis, treatment and care, unless I expressly object to their participation in my health care. By selecting “I agree” below, I acknowledge that I have read the above information, and that I understand and agree to the above statements I have been given the opportunity to have my questions about this form answered.
