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PARENT CONSENT TO TREAT A MI NOR Forming the parent or legal guardian of (minors printed name), I (parent/guardians printed name) hereby authorize MCH Physical Therapy to perform a Physical Therapy
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How to fill out conversations about care form
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Describe your current condition or the condition of the person who needs care. Provide as much detail as possible to ensure a comprehensive understanding of the situation.
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Mention any medical history that is relevant to the care being discussed.
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