In the case of a
medical emergency, I hereby authorize Sound Generations staff, as agents for
me, to consent to any necessary medical, dental, or surgical diagnosis and
treatment, advised and supervised by a physician, surgeon, or dentist.
This authorization extends to any emergency room treatment, and admission and
treatment as an inpatient considered necessary by the attending
physician. I understand that in the event of such an emergency, my
emergency contacts will be contacted in the order provided.
In the event of an emergency, the following person(s) is
authorized to act on my behalf: