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Consent For Treatment

, hereby authorize Primary Care Physicians of Hollywood, the attending physician, or the physician designated by him or her and other employees to examine and treat me. I also authorize such treatment and procedures as deemed necessary by the physician, including but not limited to the taking of X-Rays, medications, blood samples,urine samples and other therapies.

I am aware that the practice of medicine is not an exact science and I acknowledge that no guarantee or assurance has been made or implied to me as to the results that may be obtained by examination and treatment.

I HEREBY CERTIFY THAT I UNDERSTAND THE ABOVE AUTHORIZATION.


What makes us Different?

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Services

  • Asthma Treatments
  • Minor Surgery
  • Immunizations
  • Gynecology
  • Labs
  • Electrocardiograms
  • Pap Smears
  • Fitness Testing
  • Allergy Testing
  • Pulmonary Testing
  • Wound Care
  • Pacemaker Services
  • Dental Services
  • X-Rays
  • Free Transportation
  • Pregnancy Testing
  • Glucose Testing
  • Immigration Services
  • Optometry Services
  • Diagnostics
  • Podiatry
  • Hearing Services