In the event reasonable attempts to contact me using the contact information submitted above, I hereby give my consent for
1. the administration of any treatment deemed necessary by the preferred physician listed below or the preferred dentist listed below
2. The transfer of my child to the preferred hospital listed below or any hospital reasonably accessible.
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery, are obtained before surgery is performed.