Spectrum Health Consent Forms

Listing Websites about Spectrum Health Consent Forms

Templates and Forms IRB Spectrum Health

(3 days ago) WEBThe Spectrum Health IRB has provided the following templates for the research community. The templates include instructions on how to use the template, what is …

https://www.spectrumhealth.org/research-and-clinical-trials/irb/templates-and-forms

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Access Patient Records For Health Professionals - Spectrum Health

(1 days ago) WEBFuller Avenue. Phone 616.486.3121. Fax 616.486.3129. To obtain a copy of a patient’s medical record, please submit a completed Release of Information Authorization form. …

https://www.spectrumhealth.org/for-health-professionals/patient-records

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Patient Rights Spectrum Health

(4 days ago) WEBShare compliments, concerns and complaints about your experience at Spectrum Health. Call 616.391.2624. Learn about your rights and responsibilities as a patient at Spectrum …

https://www.spectrumhealth.org/patient-and-family-resources/patient-rights

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Advance Care Planning Spectrum Health

(1 days ago) WEBEmail [email protected]. Call 616.774.7615. Make your own choices for health care and empower your loved ones to act on your behalf in case of a …

https://www.spectrumhealth.org/patient-and-family-resources/advance-care-planning

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Referrals & Consultations For Health Professionals - Spectrum …

(3 days ago) WEBHelen DeVos Children's Hospital Direct. Phone: 877.391.2345. Physician Finder. Phone: 616.391.5999. Refer patients to Spectrum Health through EpicCare Link. Sign in. More …

https://www.spectrumhealth.org/for-health-professionals/referrals-and-consultations

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Spectrum Forms - Spectrum Enterprises

(6 days ago) WEBRevised in 2020 as a fillable form with additional questions. 138 KB. pdf. Download. Gift Income Verification. Use this to verify ongoing cash contributions or for recurring …

https://spectrumlihtc.com/resources/

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Informed Consent – Spectrum Health Labs

(2 days ago) WEBSubmission of an order for any predictive genetic tests and pre-symptomatic genetic tests, as defined by MCL 333.17020, contained in Corewell Health laboratory catalog …

https://lab.spectrumhealth.org/tag/informed-consent/

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Forms and Requisitions - Laboratory Test Catalog West

(9 days ago) WEBFORMS . ORDERS: Additional / Add-On Test Request (9/20) Blood Bank Specimen Form (4/17) Test Cancellation (4/20) RESULTS: Corrected Report - Gen Lab; Corrected …

https://corewellhealth.testcatalog.org/show/FORMS

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AREA FOR HOSPITAL USE ONLY

(2 days ago) WEBIf you are not the intended recipient(s) or if you receive this fax in error, please notify the sender at the address or telephone number above. Please also destroy any copies. Fax …

https://assets.contentstack.io/v3/assets/blt7b132cfc09cf5e18/blt7ff3f94b0547d205/surgical-procedure-scheduling-request.pdf

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Patient Forms - Spectrum Health Lakeland

(4 days ago) WEBThe program, a joint effort of Corewell Health™ and the YMCA of Greater Grand Rapids, launched in 2018 to combat food insecurity and will continue for a sixth consecutive year …

https://www.spectrumhealthlakeland.org/patient-visitor-guide/patient-forms

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Patient Forms - Spectrum Health Services, Inc. - Philadelphia

(7 days ago) WEBPatient Bill of Rights. Permission to Share Patient Information. Dentistry FormsComing soon Standing Order FormsComing soon. Facebook. Twitter. Instagram. Appointments & …

https://spectrumhs.org/patient-forms/

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AMENDED SURGICAL PROCEDURE DOB

(Just Now) WEBFax completed form to: 616.643.9290 THIS FORM IS TO BE USED FOR ANY AMENDMENTS MADE AFTER THE ORIGINAL PROCEDURE REQUEST (X10301) HAS BEEN SENT. Spectrum Health Hospitals (SHH) assigns turnover value.) Revised Physician Order sheet also required with this change. PROCEDURE TO BE …

https://assets.contentstack.io/v3/assets/blt7b132cfc09cf5e18/bltb71ed24b53b83d43/amended-surgical-procedure-scheduling-request.pdf

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PATIENT INFORMATION & CONSENT FORM - Spectrum Human

(1 days ago) WEBPatient Rights: All civil rights are guaranteed by state and federal laws. A patient shall not be denied service on the basis of gender, age, national origin, race, color, religion, …

https://spectrumhuman.org/forms/primacare/PATIENT_CONSENT_FORM_2020.pdf

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Spectrum Health Medical Group--Sports Medicine Consent …

(6 days ago) WEBPLEASE RETURN THIS FORM TO YOUR ATHLETIC TRAINER I understand that _____ School has contracted with Spectrum Health Medical Group for the provision of sports …

https://www.khps.org/img/Spectrum-Athletic-Trainer-Consent-SCHOOL-080519.pdf

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Spectrum Healthcare Inc. - FAQs

(5 days ago) WEBSince methadone is a controlled substance, there is a possibility for abuse and an addiction to form. When participating in a medication assisted treatment program, you will be …

http://www.spectruminc.org/FAQs.cfm

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Home - Spectrum Health Systems, Inc.

(8 days ago) WEBSpectrum Health Systems Donates $463,500 Community Impact Grants in 2023. Spectrum Health Systems Inc., a not-for-profit organization providing a comprehensive …

https://www.spectrumhealthsystems.org/

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Spectrum Health Medical Group--Sports Medicine Consent …

(7 days ago) WEBSpectrum Health requires that an adult (e.g. parent, coach, or teacher) must be present with the student-athlete whenever photographs and/or video images are taken. Use of …

https://www.spartaschools.org/downloads/athletics/spectrum_athletic_trainer_consent.pdf

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Reiki Consent Form - Englewood Health

(Just Now) WEBReiki Consent Form I understand that Reiki involves a natural method of energy balancing for the purpose of stress reduction and relaxation. I understand very clearly that a Reiki …

https://www.englewoodhealth.org/wp-content/uploads/2018/10/Graf_reiki_informed_consent.pdf

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Genetic Testing Informed Consent – Spectrum Health Labs

(5 days ago) WEBSubmission of an order for any predictive genetic tests and pre-symptomatic genetic tests, as defined by MCL 333.17020, contained in Corewell Health laboratory catalog …

https://lab.spectrumhealth.org/2023/11/20/genetic-testing-informed-consent/

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