Get Consent To Treat Form.indd - Blessing Hospital

Completing the Consent To Treat Form for minor children is an essential step in ensuring your child receives necessary medical care. This guide provides thorough instructions for accurately filling out this form online, allowing you to proceed with confidence.

Follow the steps to accurately complete the Consent To Treat Form.

1. Press the ‘Get Form’ button to obtain the Consent To Treat Form and open it in your preferred editor.
2. Begin filling out the section titled 'Children for Whom Consent is Given.' For each child, enter their full legal name, birthdate, and the name of their physician. Include any known allergies and medical problems related to each child.
3. If you are providing consent for more than three children, please complete an additional form as needed.
4. In the 'Name(s) of Parent(s)' field, enter the names of the parents or guardians. Ensure to include the home phone number and complete address.
5. Fill in the work phone number and employer information for both parents, as well as the hours worked.
6. Identify two persons or places through which you can be reached during an emergency. Include their names and phone numbers.
7. Read the consent statement carefully. Acknowledge that by signing the form, you are giving consent for medical care and tests as deemed necessary by the physicians at Blessing Hospital.
8. Sign and date the form in the designated areas. Both parents should sign the form where indicated.
9. Review the completed form to ensure all information is accurate and complete.
10. Once finalized, save the changes, and choose the option to download, print, or share the form as needed.

Complete your Consent To Treat Form online today for seamless medical care access.