By signing the Consent to Receive Medical Treatment form you are agreeing that:
you’ve been told about the health services provided at the prison and that specialist services will be provided through the public health service
you consent (agree) to be treated by the prison health service and by any public health service that’s recommended to you
you understand that you can refuse treatment at any time and if you do that then you will be fully responsible for your own health
you consent to your personal health information being released to any doctor or other health care provider to allow for your treatment or care.
When you sign your form, this will be witnessed by another person, who will also sign the form as the witness.