Deborah Screening Consent Form
Deborah Specialty Physicians is a private physicians practice. The name “Deborah” is a registered trademark of Deborah Heart and Lung Center and is used under license granted by Deborah. All Rights Reserved.
By participating in this quiz, or screening or health assessment, I recognize and accept all risks associated with it. I understand that the program will only screen for certain risk factors and does not constitute a complete physical exam. For the diagnosis of a medical problem, I must see a physician for a complete medical exam. I release Deborah Heart and Lung Center and any other organization(s) involved in this screening, and their employees and agents, from all liabilities, medical claims or expenses which may arise from my participation. Thank you for investing in your health by participating today.