The following brochures are available in the registration area. Please feel free to read and/or take with you. Privacy Notice Rights Regarding Complaints and Grievances/Patient Visitation Policy Speak Up: Anesthesia and Sedation X-Rays, MRI’s and Other Medical Imaging Tests Help Prevent Errors in Your Care Help Avoid Mistakes in Your Surgery Five Things You Can Do To Prevent Infection By signing below, you acknowledge you have been given access to this information. Printed Patient Name Patient or Personal Representatives’ Signature If Personal Representatives’ signature appears above, please describe relationship to the patient:____________________________________ 3/16 BH
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