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PATIENT: DOB CONSENTFORTREATMENTOFMINORCHILDREN Accompaniedbyanadultotherthanparentorlegalguardian I, (Parentorlegalguardian) AuthorizeCoastalHealthcaretotreat(child) forroutineandemergencymedicaltreatmentwhendeemednecessaryby
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The minor-consent-to-treat-form-03-13docx is a legal document that allows a minor to consent to medical treatment without requiring parental approval in certain circumstances.
It is typically required to be filed by health care providers seeking consent to treat a minor who is capable of making informed decisions about their health care.
To fill out the form, the healthcare provider should enter the minor's details, the type of treatment, and any necessary parental contact information, ensuring it is signed by the minor if required by law.
The purpose of the form is to provide legal documentation that a minor has given consent for medical treatment, protecting both the provider and the minor's rights.
The form must report the minor's name, date of birth, the nature of treatment being consented to, and the signatures of both the minor and the healthcare provider.
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