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Volume32013verdict25continuedonpage26LikelyLiableAcombinationotwoormoreotheollowingwilllikelystrengthenadeenseonaMejiatheoryoliability.ConditionsoAdmissionsForms.AsdiscussedindepthbelowConditionsoAdmissionsFormsarecriticaltoadeenseagainstaMejiaargument.Signaturetimeanddatearecrucialinassessingthereasonablerelianceactor.CompareTadlockv.MercyHealthcareSacramentoC0447772004WL1203138at9Cal.Ct.App.June22004concludingthatthedocumentcouldhavebeensignedbeorehewasadmittedaerhewasadmittedorconcurrentlywithhisadmissionandmereexistenceothedocumentisnotsufcienttoconclusivelyindicatethepatientshouldhaveknownthetreatingphysicianwasnotthehospitalsagentwithDeckerv.LongBeachMemorialMedicalCenterNo.B1892652007WL4346795at2Cal.Ct.App.Dec.132007plaintisignedapre-electivesurgeryconditionoadmissionsormbutavoidedsummaryjudgmentbysubmittingadeclarationstatingshehadnoreasontobelievethedeendantphysicianswerenothospitalemployeesshebelievedtheywereemployeesanddespitehavingsignedtheormwasnevertoldotherwise.Useoaormcanbeparticularlyeectivewithelectiveproceduresorwhichpaperworkcanbeprovidedinadvanceotreatment.Iahospitaldemonstratesitprovidedaormtoapatientbeorethepatientarrivedoraprocedurethatcanbolstertheargumentthatthepatienthadampleopportunitytoconsiderthematerialobtainothersassistanceinunderstandingitandcouldhavebackedoutotheprocedureitheconditionswereunacceptabletothepatient.Billingorservicesseparatelyfomhospital.Deenseattorneysshouldadvisetheirhospitalclientstoavoidbillingservicesonbehalotheirindependentcontractorsphysicians.Jacovesv.UnitedMerchandisingCorp.19929Cal.App.4th88deendantbilledorhisservicesseparatelyromthehospitalbutoundliablebasedonotheractorsStanhopev.LosAngelesCollegeoChiropractic194254Cal.App.2nd141146collegeoundliabledespitetheactdeendantsissuedhisowninvoicesseparateandapartromthecollege.RemoteLikelihoodofLiabilityExistingRelationship.Aphysicianwhohasanestablishedrelationshipwiththeplainti-patientlendssupporttothehospitalsdeenseagainstostensibleagency.SeeAlemuv.Venn-WatsonNo.D0559922005WL2436473at5Cal.Ct.App.October42005.InAlemudeendantphysicianhadbeentreatingpatient-plaintiormorethantwomonthsbeoreplaintiunderwentherscheduledoperation.Ibid.TeCourtreasonedthatthepatientspre-existingrelationshipwithherphysicianbarredthesurgicalcenterromliabilityunderatheoryoostensibleagencybecausethephysicianwasactingasthepatientspersonalphysician.Ibid.WhatDoWeDoAboutItConditionsoAdmissionsForms.Hospitalliabilitycanbemostefcientlyavoidedattheinitialstageothehospital-patientrelationship.DuringthattimemosthospitalsprovideaConditionsoAdmissionsFormFormorpatientstoreviewunderstandandexecute.DeenseattorneyscanhelptheirhospitalclientsbyoeringinputintodraingandadministrationothehospitalsormwhichapprisespatientsotheindependentcontractorrelationshipbetweenphysicianandhospitalContentotheForm.manyhospitalormsarequiteoutdated.TeymaycontainclausesdeclaringthatthePHYSICIANSARENOEMPLOYEESORAGENSOFHEHOSPIALbutthoseparagraphsareoendeepwithinthemanyprovisionsandmultiplepageslaidoutintheirForm.Amoreeectivedisclaimerwouldincludepresentingapatientwithaseparatedocumentthatdescribesonlythenatureothephysicianandhospitalrelationshipintextprintedinalargerthannormalsizeont.Tisavoidsanargumentthatyourhospitalclientinundatedapatientwithtoomuchundierentiatedinormation.Deenseattorneysshouldalsosuggestthathospitalormsrequireinteractivereadingratherthanprovidingaplaceholderorpassiveinitialing.Aplaintipatientislesslikelytodenythathemisunderstoodthenatureothephysiciansrelationshipwiththehospitaliitsclearlymemorializedinhisownhand.ForexamplepatientsmaybeaskedllinthenameothehospitalinaparagraphreadingALLPHYSICIANSDOCORSANDSURGEONSREAINGYOUWHILEYOUAREA______________NAMEOFHOSPIALAREINDEPENDENCONRACORSANDARENOTEMPLOYEESORAGENTSOFTHEMejiacontinuedfrompage24