Consent to Treat: I the undersignsed, voluntarily consent to and authorize Internal Medicine Associates of Lincoln Park through its physicans, employees, and/or agents to provide such medical care and examinations, on a continuing basis, and to administer such routine diagnostic, radiological, and/or therapeutic procedures, tests, and treatments as are considered necessary or advisable, in my diagnosis, care and treatment, in the judgment of my physician included but not limited to collecting and testing bodily fluids, and administration of pharmaceutical products. I acknowledge that no guarantees have been made to me about the results of any examination or treatment.