• Consent to Treatment of a Minor when parents/guardians are temporarily unavailable

    This form gives consent from parent(s) or guardian(s) of a minor child for treatment including, but not limited to hospitalization admission, anesthetic, diagnostic imaging or other treatment by a physician. It is understood that this consent is given in advance to any specific diagnosis or treatment being required, but is given to provide authority to the physician to diagnose and treat the minor in the parent(s)/guardian(s) absence.
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