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MINOR CONSENT Authorization and Assignment I authorize Lighthouse Chiropractic Health Center to release any information deemed appropriate concerning my physical condition to any insurance company,
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Minor consent - lhchirocom is a form that allows a minor to receive chiropractic care without the presence of a parent or legal guardian.
The minor's parent or legal guardian is required to file the minor consent - lhchirocom form.
To fill out the minor consent - lhchirocom form, the parent or legal guardian must provide the necessary information about the minor and give consent for chiropractic care.
The purpose of minor consent - lhchirocom is to ensure that the minor can receive chiropractic care safely and legally without the presence of a parent or legal guardian.
The minor's personal information, the parent or legal guardian's contact information, and consent for chiropractic care must be reported on the minor consent - lhchirocom form.
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