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WESTERN PENNSYLVANIA SCHOOL FOR BLIND CHILDREN Student Health Services 201 North Belle field Ave., Pittsburgh, PA 15213 Phone: 412-621-6001 or 412-621-0100, ext. 232 Fax: 412-621-8965 MEDICAL AUTHORIZATION
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What is 11-12 med authorization?
11-12 med authorization is a form used to authorize medical treatment or procedures for a patient.
Who is required to file 11-12 med authorization?
The patient or their legal guardian is required to file 11-12 med authorization.
How to fill out 11-12 med authorization?
To fill out 11-12 med authorization, provide the patient's personal information, details of the medical treatment or procedures, and signatures from the patient or legal guardian.
What is the purpose of 11-12 med authorization?
The purpose of 11-12 med authorization is to ensure that medical treatment or procedures are authorized by the patient or legal guardian.
What information must be reported on 11-12 med authorization?
On 11-12 med authorization, you must report the patient's name, date of birth, medical treatment or procedures being authorized, and signatures.
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