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  • Duke University Hospital Junior Volunteer Minors Program Participation Agreement 2020

Get Duke University Hospital Junior Volunteer Minors Program Participation Agreement 2020-2025

( Participant ) Parent or Legal Guardian Name: ( Parent/Legal Guardian ) This Participation Agreement (the Agreement ), effective as of the date of signature by the Parent/Legal Guardian, is entered into by and between Duke University and Parent/Legal Guardian. This Agreement must also be signed by the Participant, which signature reflects that the Parent/Legal Guardian and Participant have reviewed the Ag.

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By Phone: For personal assistance with patient referrals or more information about Duke physicians or services, call the Duke Consultation and Referral Center at 800-MED-DUKE. Referring physicians can fax referral requests to 919-479-2664. Click here for our referral form.

If you are a new patient or need a new specialist to address a problem, please call 855-855-6484, Monday–Friday 8:00 am to 5:00 pm ET. Or, if you would like to request an appointment online and receive a phone call back, please fill out this form.

You have the right to safe, high-quality, medical care, without discrimination, that is compassionate and respects your personal dignity, values, and beliefs. You have the right to participate in and make decisions about your care and pain management, including refusing care, to the extent permitted by law.

Compliance with the Policy for Minors in Duke Programs is the responsibility of all University faculty, staff, volunteers, and students as well as anyone (including third parties) using university facilities.

Duke University School of Medicine is one of the nation's leading institutions for medical, health professions and biomedical education, clinical care, and biomedical research.

If you do not have a Duke primary care doctor, please call the Duke COVID-19 Hotline at 919-385-0429, 8:00 am - 8:00 pm seven days a week. If you need further help scheduling an appointment not related to COVID-19 or respiratory symptoms, you may also contact us at 1-888-275-3853 for assistance.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232