Staff - Alhambra Hospital Medical Center 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the 'Physician Office Staff Member Name' field. Ensure that you spell your name correctly as this will be part of the official record.
3. Next, sign your name in the 'Physician Office Staff Member Signature' field. This signature indicates your agreement to the terms outlined in the document.
4. Fill in the date on which you are signing the agreement in the 'Agreed to on this Date' section.
5. Proceed to enter the sponsoring physician's name and signature in their respective fields, ensuring accuracy for proper documentation.

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