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PROXY CONSENT TO TREAT MINORS This form may be used to allow an adult other than a parent to serve as a proxy decision maker for routine dental care and services at Clayton Kids Dentistry. For some
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It is a legal document signed by a parent or legal guardian giving permission for a minor to receive medical treatment.
Parents or legal guardians of minors are required to file consent to treat minors.
Consent to treat minors can be filled out by providing the necessary information about the minor, the medical treatment, and signing the document.
The purpose of consent to treat minors is to ensure that medical professionals have legal permission to provide medical treatment to a minor.
Information such as the minor's name, date of birth, medical condition, treatment needed, name of parent or legal guardian, and signature must be reported on consent to treat minors.
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