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MINOR SERVICES AUTHORIZATION FORM I hereby authorize The Center for Mental Health to provide mental health and/or substance abuse services to the following minor child: Child's Name Date of Birth
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How to fill out minor services authorization form
How to fill out minor services authorization form
01
Read and understand the purpose and content of the minor services authorization form.
02
Gather all the necessary information required to fill out the form, such as the minor's personal details, the services to be authorized, and the duration of the authorization.
03
Ensure you have the required signatures from the relevant parties, such as the parent or legal guardian and the service provider.
04
Carefully fill out each section of the form, following the provided instructions if any.
05
Double-check the form for any errors or missing information.
06
Submit the completed form to the appropriate authority or service provider as instructed.
Who needs minor services authorization form?
01
Parents or legal guardians of minors who need to authorize specific services for the minor.
02
Service providers who require authorization from a parent or legal guardian before providing services to a minor.
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