2018 Health Fair - Open to the Public

Health Fair
 

Location

First Christian Church
1100 Killarney Dr
Greenville, IL 62246
 

Date/Time

3/16/2018, 7:15 AM - 12:45 PM

 

Registration



Consent

The undersigned hereby requests that health screening examinations/tests be performed for me by HSHS Holy Family Hospital Health Fair personnel.

I understand that:
  1. A licensed health care provider will review all results and participants with critical results will be notified
  2. My results do not constitute a medical diagnosis.
  3. HFG will be unable to bill my insurance company and my insurance company may not provide reimbursement for this service.
  4. Any follow-up needed based on my results are my responsibility and not the responsibility of any participating organization.
  5. In accordance with HSHS Holy Family’s policies and federal regulations (HIPAA), patient information and test results are considered “protected health information” and will remain confidential. Click Here to view the Notice of Privacy Practices.
  By checking this box, I acknowledge that I have read and understand the above.

  Clicking this box, you are granting: HSHS Holy Family Hospital, 200 Healthcare Drive, Greenville, IL, 62246 United States, http://www.hshsholyfamilyhospital.org permission to email you. You can revoke permission to mail to your email address at any time using the SafeUnsubscribe SafeUnsubscribe® link, found at the bottom of every email. We take your privacy seriously (to see for yourself, please read our Email Privacy Policy). Emails are serviced by Constant Contact.