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Get CA LIC 627 2008-2024

ICAL TREATMENTChild Care Centers Or Family Child Care Homes AS THE PARENT OR AUTHORIZED REPRESENTATIVE, I HEREBY GIVE CONSENT TO _________________________________________ TO OBTAIN ALL EMERGENCY MEDICAL OR DENTAL CARE FACILITY NAME PRESCRIBED BY A DULY LICENSED PHYSICIAN (M.D.) OSTEOPATH (D.O.) OR DENTIST (D.D.S.) FOR __________________________________________________ . THIS CARE MAY BE GIVEN UNDER NAME WHATEVER CONDITIONS ARE NECESSARY TO PRESERVE THE LIFE, LIMB OR WELL BEING OF THE CHILD NA.

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