Sub-Acute and Rehabilitation Center Admission Agreement

Form Template

This is the Sub-Acute and Rehabilitation Center Admission Agreement app.

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This agreement is used for clients who do not wish to be resuscitated or have any cpr performed on them in the case of cardiac arrest or if found without signs of life during a rehab session. There is also an area of the app that has other procedures the resident can opt out of, some of these procedures include, lab work, blood infusions, pain management measures, etc... At the end, the User will sign their name in the app as approval for the treatment requested or refused. This app is easy to use and can be tailored to your specific needs, all wording can be changed and customized the way you want it, according to how you want the information displayed.

  • Signature Capture
  • Conditional Fields
  • Submission Editing
  • Reference Data
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