Medical Forms | new-river-health

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Medical Records Release

Consent to Treat Medical

NEXPLANON Consent to Treat

Voluntary NonOpioid Directive

The Health Resources and Services Administration (HRSA), in accordance with the Federally Supported Health Centers Assistance Act (FSHCAA), as amended, sections 224(g)-(n) of the Public Health Service (PHS) Act, 42 U.S.C. �� 233(g)-(n), deemed New River Health Association to be in accordance with the Act that provides liability protection under the Federal Tort Claims Act (FTCA), 28 U.S.C. �� 1346(b), 2672, or by alternative benefits provided by the United States where the availability of such benefits precludes a remedy under the FTCA, for damage for personal injury, including death, resulting from the performance of medical, surgical, dental, or related functions by New River Health Associations employee�s while acting within the scope of such employment and its covered individuals.

NRHA is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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