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Proton Therapy Center Czech Bud nova 1a, 180 00 Prada 8 http://www.ptc.cz PTC IC DECISION Page 1 of 2 Version 1 PATIENTS DECISION ON HANDLING OF THEIR HEALTH INFORMATION (RECORD ON THE CONSENT TO

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How to fill out rozhodnuti pacienta s poskytovn

How to fill out rozhodnuti pacienta s poskytovn:

01

Start by obtaining the correct form for rozhodnuti pacienta s poskytovn, which is typically provided by the healthcare institution or clinic.

02

Fill in your personal information accurately, including your full name, date of birth, and contact details. This information is important for identification purposes.

03

Indicate the purpose of the rozhodnuti pacienta s poskytovn. Specify whether it is for a specific medical procedure, treatment, or any other healthcare service.

04

Provide details about your healthcare provider or institution. Include their name, address, and contact information. This information helps in identifying where the service will be provided.

05

Specify the duration or period for which the rozhodnuti pacienta s poskytovn is valid. This can range from a single appointment to multiple visits or a certain period of time.

06

Sign and date the form to indicate your consent and agreement with the information provided.

07

Submit the completed rozhodnuti pacienta s poskytovn to your healthcare provider or the relevant department within the institution or clinic.

Who needs rozhodnuti pacienta s poskytovn:

01

Patients who require specific medical procedures or treatments may need rozhodnuti pacienta s poskytovn. This helps in obtaining official approval and consent for the planned healthcare services.

02

Individuals who seek specialized healthcare services, such as surgeries, diagnostic tests, or long-term treatments, may be required to fill out rozhodnuti pacienta s poskytovn.

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Patients who need to have their healthcare choices documented and officially authorized may also require rozhodnuti pacienta s poskytovn. This ensures that their preferences and decisions are respected and followed during their medical care.

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