I acknowledge treatment information and the content of this Letter of Intent to seek treatment services from Chularat 3 Hospital. I hereby give my consent to the doctor(s), medical professionals, and staff of Chularat 3 Hospital to carry out care, including diagnostic procedures, medical treatment, surgical treatment, and emergency procedures as may be necessary in their professional judgment for the best interest and benefit of the life and health of the patient. I understand that by signing below, I have voluntarily given up my legal rights to claim damages or seek compensations for any damage or loss sustained during the course of treatment.