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R & R PEDIATRICS, LLC Location: Carpenter Fire Station 7560 Carpenter Fire station Rd Ste#201 Cary, NC 27519 Phone: (919) 3679834 Fax: (919) 3679832Location: HWY 55 3100 NC HWY 55 Ste# 202 Cary, NC
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How to fill out authorization to treat minor
01
Begin by providing basic information about the minor being treated, including their full name, date of birth, and contact information.
02
Specify the medical facility or healthcare professional who will be providing treatment to the minor.
03
Include any medical conditions or allergies that the minor may have, as well as a list of medications they are currently taking.
04
Sign and date the authorization form to indicate your consent for the minor to receive medical treatment.
Who needs authorization to treat minor?
01
Any parent or legal guardian of a minor child who is seeking medical treatment for the child.
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