Medical Services Terms and Conditions

Medical Services Terms and Conditions

  1. Chester County Connect Care (CCCC) is a non-profit medical clinic. All of our services are free. Licensed medical professionals provide medical services. The pregnancy test used is >99% accurate. All information is kept confidential. My appointment at CCCC is for the purpose of confirming my pregnancy. The medical services and advice provided at this facility does not constitute complete or regular prenatal care. It is solely my responsibility to obtain such care as soon as possible at an appropriate medical facility elsewhere. I understand that a referral list with the names of local doctors and prenatal care facilities is available for my use. CCCC does not provide continuing or emergency medical care. I recognize that if I have any signs of bleeding, pain, or other pregnancy-related health problems, I will seek further care at the emergency room or at the provider of my choice.
  2. If an Ultrasound is recommended, I understand that it is only for the purposes of confirming my pregnancy. I understand it is not for the purposes of diagnosing or detecting any medical problems or conditions. I hereby release CCCC from any and all liability in this regard. Ultrasound utilizes high-frequency sound waves, and there are no known harmful effects in twenty-five years of clinical use. The possibility always exists that effects may be identified in the future. A physician will read my ultrasound(s) to verify that I have a viable intrauterine pregnancy. Once it has been established that I have a viable intrauterine pregnancy, I may be asked, or I may request to come back for a second ultrasound every two weeks. I understand that a physician will not read these follow-up ultrasounds. The following ultrasounds may be used for continuing education of our medical staff for the enhancement of their ultrasound scanning skills.
  3. I am not presently experiencing any cramping, pain, spotting or bleeding, and I understand that this exam is not a substitute for immediate medical care.
  4. I hereby give full consent to these medical services, and I waive and release any and all claims whatsoever kind and nature that I, my baby, my legal representatives or heirs, and relatives might have or hereafter have against CCCC, its physicians, medical personnel, directors, officers, employees, and volunteers.  I expressly agree that this waiver, release, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of this state, continue in full legal force and effect.
  5. In order to effectively provide for my medical care, I understand that the medical staff and lay counselors of CCCC will have access to my confidential records at CCCC.  My records may be released to medical and referring agencies.
  6. Other reasons we may be legally required to submit client information: to comply with the law, to respond to lawsuits and legal actions
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