No-Cost Sports Physicals

*I hereby voluntarily agree and consent to authorize staff of Highland District Hospital to perform a physical on myself or my child. While receiving the physical, I permit the physicians and associated licensed independent practitioners, the hospital and its employees, students in health care training programs and all other persons caring for me, to treat me in ways they judge based upon their professional standards that are beneficial to me. I understand the practice of medicine is not an exact science and acknowledge no guarantees have been made to me as the result of the treatments or examinations in the hospital. I understand it is my responsibility to follow up with my or my child's primary care provider if a medical concern is identified.