Terms and Conditions of Self-Referral Screening

 


Please read carefully, if you agree, then acknowledge your acceptance of these terms and conditions by clicking YES, proceed to Appointment Request  at the end of page.


  1. 1.I understand that submitting a request for Self-Referral Screening to Dr. Cardona’s office does NOT establish a patient/doctor relationship between me and Dr. Cardona. Such a relationship will develop only if I have been accepted for an evaluation and only after I have undergone such an evaluation by Dr. Cardona.


  1. 2.I understand that if I am accepted for evaluation, this does not necessarily mean that I will undergo surgery. I understand that Dr. Cardona will make any decisions regarding surgery only after he has personally interviewed and examined me. Additional diagnostic tests, non-surgical treatment, or no treatment may be recommended.


  1. 3.I understand that I may not be accepted as a patient by Dr. Cardona. I further understand that Dr. Cardona is under no obligation to provide an explanation as to why I have not been accepted for evaluation.


  1. 4.I understand that if I am not accepted for evaluation, I may still have a problem that requires medical attention. Such a determination can only be made by the physicians who have previously examined me and ordered my diagnostic studies. As such, I remain under their care.


  1. 5.I understand that if my condition suddenly deteriorates while I am undergoing the screening process, I will report immediately to an emergency room or to a doctor with whom I have previously established a patient/doctor relationship.


I fully understand and accept the terms of the Self-Referral Screening process as described above.




©2010 Dr. Rafael F. Cardona, MD | Puerto Rico Neurological Spine Surgery | 1409 Feria, San Juan, PR 00909 | (787) 723-5553 | Legal Disclaimer

Yes, proceed to Appointment RequestPt_refferal.html