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Authorization to Consent to Treatment of Unemancipated Minor

A parent or legal guardian may want to consider providing written authorization for another person to give consent in advance for medical treatment for a minor child if you are not available to consent to care. This person could be a relative, a neighbor, a babysitter or other person designated by the parent(s) or legal guardian. An Authorization to Consent to Treatment of Unemancipated Minor Form can be used for this purpose. A copy of the written authorization should be retained by the person acting as your agent for your child and presented to the health care provider at time of treatment.

Download Authorization to Consent to Treatment of Unemancipated Minor

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