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Get Medical Treatment Authorization and Consent Form

Guardians. This “Medical Treatment Authorization and Consent Form” gives authority to a designated adult to arrange for medical care for a minor in the event of an emergency. This is extremely important, in that, medical care can not be provided to a minor without approval by the parents or legal guardians, unless there is written consent authorizing an agent to give approval. Minor’s Full Name Minor’s Address City, State, Zip Code Minor’s Age The undersigned do hereby authorize Christ.

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