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  • Tx North Lake College Consent To Emergency Medical Treatment (dcccd) Minor Student 2019

Get Tx North Lake College Consent To Emergency Medical Treatment (dcccd) Minor Student 2019-2025

Treatment for a minor (under age 18) enrolled in a College of DCCCD in the event of an emergency, where the minor is not accompanied by a parent or legal guardian and it may not be feasible or practical to contact a parent or legal guardian to obtain consent. Name of Minor: Date of Birth: Student ID#: Campus location: Program name: Home Address (Street, City, State, Zip Code): Parent/Guardian Name: Relation to Minor: Phone Number: I, , the parent/legal guardian of (minor), give my consent.

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Specifically, a minor may consent for his or her medical or dental care if he or she meets the following three requirements: (1) the minor is 15 years of age or older; (2) the minor is living separate and apart from the minor's parents or guardian, with or without the consent of a parent or guardian, and regardless of ...

In Washington State, the age of medical consent is 13. That means that a person 13-17 years old can independently seek medical treatment, without the consent or knowledge of parents.

I (patient name) give permission for [practice name] to give me medical treatment. I allow [practice name] to file for insurance benefits to pay for the care I receive. I understand that: [practice name] will have to send my medical record information to my insurance company.

074; 153.132; Texas Occupations Code §159.005. MINORS CAN CONSENT TO TREATMENT BY A PHYSICIAN OR DENTIST WHEN THE MINOR IS: On active duty with armed services. 16 years old or older and residing apart from parents, managing conservator or guardian and managing his or her own financial affairs.

A minor may give consent to all medical, mental, dental and other health counseling and services if the minor is living separately from parents or legal guardians and is independent of parental support.

Unless limited by court order, a "sole managing conservator" (custodial parent) has all the rights listed above in 153.073, AND the following exclusive rights (2) the right to consent to medical treatment involving invasive procedures, (3) and the right to consent to psychological or psychiatric treatment of a child, ...

A grandparent of the minor. An adult brother or sister of the minor. An adult aunt or uncle of the minor. An educational institution in which the child is enrolled that has received written authorization to consent from a person having the right to consent.

Several exceptions to the requirement for informed consent include (1) the patient is incapacitated, (2) life-threatening emergencies with inadequate time to obtain consent, and (3) voluntary waived consent.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232