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Get the free Patient-Physician Contract - Pump Therapy - mydoctor kaiserpermanente

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Endocrinology, Santa Rosa, CA. Northern California PatientPhysician Contract Pump Therapy Name: MR# I understand that initiating pump therapy to manage my diabetes requires a commitment to improving
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The patient-physician contract - pump is an agreement between a patient and their physician regarding the use and maintenance of a medical pump device for treatment purposes.
The physician or healthcare provider responsible for prescribing or monitoring the patient's use of the pump is required to file the patient-physician contract.
The contract is typically filled out by the physician or healthcare provider and signed by both the patient and the provider, outlining the responsibilities and expectations of both parties regarding the pump device.
The purpose of the contract is to ensure clear communication and understanding between the patient and physician regarding the use of the pump, including responsibilities, risks, and benefits.
The contract should include details such as the type of pump device, treatment plan, monitoring schedule, emergency contact information, consent for treatment, and any restrictions or guidelines for use.
With pdfFiller, the editing process is straightforward. Open your patient-physician contract - pump in the editor, which is highly intuitive and easy to use. There, you’ll be able to blackout, redact, type, and erase text, add images, draw arrows and lines, place sticky notes and text boxes, and much more.
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