A PHP Error was encountered

Severity: 8192

Message: Return type of CI_Session_files_driver::open($save_path, $name) should either be compatible with SessionHandlerInterface::open(string $path, string $name): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice

Filename: drivers/Session_files_driver.php

Line Number: 132

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Return type of CI_Session_files_driver::close() should either be compatible with SessionHandlerInterface::close(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice

Filename: drivers/Session_files_driver.php

Line Number: 292

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Return type of CI_Session_files_driver::read($session_id) should either be compatible with SessionHandlerInterface::read(string $id): string|false, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice

Filename: drivers/Session_files_driver.php

Line Number: 166

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Return type of CI_Session_files_driver::write($session_id, $session_data) should either be compatible with SessionHandlerInterface::write(string $id, string $data): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice

Filename: drivers/Session_files_driver.php

Line Number: 235

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Return type of CI_Session_files_driver::destroy($session_id) should either be compatible with SessionHandlerInterface::destroy(string $id): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice

Filename: drivers/Session_files_driver.php

Line Number: 315

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Return type of CI_Session_files_driver::gc($maxlifetime) should either be compatible with SessionHandlerInterface::gc(int $max_lifetime): int|false, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice

Filename: drivers/Session_files_driver.php

Line Number: 356

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: ini_set(): Session ini settings cannot be changed after headers have already been sent

Filename: Session/Session.php

Line Number: 282

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: session_set_cookie_params(): Session cookie parameters cannot be changed after headers have already been sent

Filename: Session/Session.php

Line Number: 294

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: ini_set(): Session ini settings cannot be changed after headers have already been sent

Filename: Session/Session.php

Line Number: 304

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: ini_set(): Session ini settings cannot be changed after headers have already been sent

Filename: Session/Session.php

Line Number: 314

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: ini_set(): Session ini settings cannot be changed after headers have already been sent

Filename: Session/Session.php

Line Number: 315

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: ini_set(): Session ini settings cannot be changed after headers have already been sent

Filename: Session/Session.php

Line Number: 316

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: ini_set(): Session ini settings cannot be changed after headers have already been sent

Filename: Session/Session.php

Line Number: 317

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: ini_set(): Session ini settings cannot be changed after headers have already been sent

Filename: Session/Session.php

Line Number: 375

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: session_set_save_handler(): Session save handler cannot be changed after headers have already been sent

Filename: Session/Session.php

Line Number: 110

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: session_start(): Session cannot be started after headers have already been sent

Filename: Session/Session.php

Line Number: 143

Backtrace:

File: /home/pacificcardiolog/public_html/registration/application/controllers/Form.php
Line: 6
Function: __construct

File: /home/pacificcardiolog/public_html/registration/index.php
Line: 315
Function: require_once

Pacific Cardiology

Blood Pressure Monitor Consent Form

Privacy information and consent form

Should the Blood Pressure Monitor be lost or damaged by negligence on my part or otherwise i understand i will be responsible for the costs incurred for repair or replacement of same.

I understand the replacement cost is approximately $2500.00.

Signed by the patient, the same having been read to him/her by the undersigned witness and who appeared to fully understand the same.

PATIENT CONSENT

I have read this form and understand why collecting information about me is necessary. I am also aware my doctor’s practice has a privacy policy on handling patient information. I understand that I am not obliged to provide any information requested of me. I also understand that failure to provide my doctor’s medical practice with all the information he/she needs may restrict my doctor’s ability to provide the quality or health care and treatment I want. I consent to the handling of any information by my doctor’s practice for the purpose set out above, subject to any limitations on access or disclosure about which I notify my doctor now or in the future. I acknowledge I have read this form prior to signing and that my doctor or a staff member has at my request clarified any aspect of it that I do not understand.