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Notice of disclosure

WEST COAST ENDOSCOPY CENTER

NOTICE OF DISCLOSURE OF OWNERSHIP INTEREST

The West Coast Endoscopy Center is owned by the physician members of E Street Endoscopy, Inc. These physicians have become owners as a result of their commitment to quality healthcare and services to their patients.

The West Coast Endoscopy Center may have a financial relationship with your physician as stated above. Schedules or typical fees for services are provided by the Center at your request.

You have a right to choose where services: include an entity in which your physician may have a financial relationship.

  1. Two reasonable alternative sources for services are:
    Morton Plant Hospital. 323 Jeffords Street, Clearwater, FL 33756 #462-7745
  2. Largo Medical Center Hospital 201 14th Street S.W., Largo, FL 33770 #588-5200

Notice of policy Regarding Advanced Directives

Advanced directives are statements that indicate the type of medical treatment wanted or not wanted in the event an individual is unable to make those determinations; living wills are examples.

In the ambulatory setting, if a patient should suffer a cardiac, respiratory, or other life threatening situation, the signed consent implies consent for resuscitation and transfer to a higher level of care and the transfer of medical records and information as determined necessary.

In accordance with federal and state law, the facility ifs notifying you it will NOT honor previously signed advanced directives for any patient