The hospital admission agreement signed by the patient or the patient's legal representative shall contain the following statement:
"Pathology and radiology services are medical services performed or supervised by doctors, and the personnel and facilities are or may be furnished by the hospital for said services. Charges for such services are or may be collected, however, by the hospital on behalf of said doctors pursuant to an agreement between said doctors and the hospital, and from said charges I consent that an agreed sum will be retained by the hospital in accordance with an existing agreement between the doctor and the hospital."
[C58, 62, 66, 71, 73, 75, 77, 79, 81, § 135B.27]
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