King Abdullah bin Abdulaziz University Hospital

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Authorize healthcare providers to administer medical treatment, and/or perform diagnostic tests as may be deemed necessary or advisable in the diagnosis and treatment required.
I also agree:
- (a) To have the patient transferred to another facility if medically needed.
- (b) To vacate the room for medical isolation purposes or other treatment reasons.
I am aware that the hospital provide a safe for keeping personal belongings (money, jewelry, glasses, mobile, phone, documents, others). Therefore, the hospital will not be responsible for the loss of any belongings if not placed in the safe.
I am aware that the hospital is an Academic Institution and it is likely that non-consultant physicians will participate in healthcare under the supervision of the Consultant.
I have received Patient & Family’s Bill of Rights booklet, and | was briefed on its contents by the assigned employee upon Admission/Registration.
I understand that my discharge from the hospital is recommended by my attending physician based on my medical condition. Therefore, | agree to leave the hospital on the date of discharge.

I have read and agree to all information mentioned above

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