Brandon Oconnor

 
 BETHESDA HEALTH 
 RELEASE FROM LIABILITY FOR PATIENT'S PERSONAL PROPERTY 
 The security of your personal property is important to us; however, Bethesda Health's goal is to 
 attend to your healthcare needs. Bethesda Health accepts no responsibility for any personal property that you 
 maintain in your possession or at your bedside.  
 As a patient, you have the right to keep your personal property with you while in the hospital. However, if you 
 choose to keep your personal property with you during your stay, you must sign the following disclaimer, 
 releasing the hospital from any and all liability for the loss or damage to your personal property. 

 2021 June 06 09:02:03-0400 
 Patient of Legal Representative 
 Date 
 Signed by Retano. Lisa on 2019 June 04 09:02:03-040 
 2021 June 06 
 Signature of Witness 
 Date 
 Pt Name: 
 Brandon Oconnor
 MRN: 111786xx 
 Date of Birth: 1984 April 29T00:00:00 Pt ID: 2521037xxx 
 RELEASE FROM LIABILITY FOR 
 Sex: F 
 PATIENT PERSONAL PROPERTY 
 Admit Date: 2021 January 27T00:00:00 
 Admitting M.D.: Robert Watkins 
 Attending M.D.: Robert Watkins 
 GENNADIY 
 GENNADIY
