Get the free office of children, youth and families bulletin ... - DHS.pa.gov
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Parental Consent for Minors for
Blood Testing
I/We, ___,
the [ ] parent(s)
[ ] legal custodian(s);
[ ] legal guardian(s) of the following minor(s):
___
Students Name___
Thereby give authorization
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The office of children youth is a government agency responsible for protecting the welfare of children and youth in a community.
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Information such as the number of children served, services provided, staff qualifications, and any incidents involving children must be reported on the office of children youth form.
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