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De Anza College Student Health Services21250 Stevens Creek Blvd. Cupertino, CA 95014 Phone: (408) 8648732 Fax: (408) 8648983MINOR CONSENT ACCESSING HEALTH CARE FOR STUDENTS UNDER AGE 18 If you are

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How to fill out minor-consent-form-medical-2024-0606pdf

01

Obtain a copy of the minor-consent-form-medical-2024-0606pdf.

02

Fill in the date of the form at the top.

03

Fill out the minor's full name, date of birth, and address.

04

Provide information about the parent or legal guardian, including their name, relationship to the minor, and contact information.

05

Sign and date the form at the bottom as the parent or legal guardian.

06

If the minor is capable of consent, have them sign the form as well.

07

Keep a copy of the form for your records.

Who needs minor-consent-form-medical-2024-0606pdf?

01

Any parent or legal guardian who is authorizing medical treatment for a minor may need to fill out and submit the minor-consent-form-medical-2024-0606pdf.

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What is minor-consent-form-medical-0606pdf?

minor-consent-form-medical-0606pdf is a medical consent form for minors.

Who is required to file minor-consent-form-medical-0606pdf?

Parents or legal guardians of minors are required to file the minor-consent-form-medical-0606pdf.

How to fill out minor-consent-form-medical-0606pdf?

Minor-consent-form-medical-0606pdf can be filled out by providing the minor's information, parent or guardian information, medical treatment details, and signatures.

What is the purpose of minor-consent-form-medical-0606pdf?

The purpose of minor-consent-form-medical-0606pdf is to authorize medical treatment for minors when the parent or guardian is not present.

What information must be reported on minor-consent-form-medical-0606pdf?

Information such as minor's name, date of birth, medical history, treatment details, parent or guardian's contact information, and signatures must be reported on minor-consent-form-medical-0606pdf.

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