FORM #7 - EMERGENCY TREATMENT PROCEDURE

This notice describes how medical information about you may be used, disclosed, and how you can get access to this information.
  • I understand that THS is not a 24hr-service and has no guaranteed availability for emergencies.  I understand that the services of Temah Healthcare Services, LLC are routine primary care services.  I understand that in the event of an emergency or urgent medical issue, I am to dial 911. Under no circumstances should I postpone the care or evaluation of an urgent or emergency condition waiting for a visit or return communication (phone call, e-mail or fax) from providers at THS.

     

     

  • Enter full name
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

Shop

kk kkterms [pkpfjfjfkf privacy adjd;jkak;security

[gravityform id="19" title="true" description="true"]

You have Successfully Subscribed!

Share This