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This consent will be valid until the minor reaches the age of 18 but can be revoked at any time by written notification. Parent/Legal Guardian Print Signature Date Witness Print rev.4/14/2016 2016 MGoepfert-All rights reserved 1 of 1. CONSENT FOR MENTAL HEALTH TREATMENT OF A MINOR Southern Light Counseling CD Vendor 002344001 SLC NPI 1346513744 Property of SLC Copying without permission is prohibited Consent to Treat Minor Child s Name Date of Birth As the parent or legal guardian with the...

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What is consent for mental health?

Consent for mental health is permission given by a patient to their healthcare provider to share information about their mental health treatment.

Who is required to file consent for mental health?

The patient receiving mental health treatment is required to file consent for mental health.

How to fill out consent for mental health?

Consent for mental health can be filled out by the patient at their healthcare provider's office or through an online portal.

What is the purpose of consent for mental health?

The purpose of consent for mental health is to ensure that healthcare providers can communicate and coordinate effectively about a patient's mental health treatment.

What information must be reported on consent for mental health?

Consent for mental health must include the names of the healthcare providers involved, the specific information to be shared, and the duration of the consent.

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