Patient authorizes the physicians, medical attendants, and the hospital to furnish full and complete medical information to the specified attorney at law, or to any representative or investigator from his/her firm. The form also provides that all prior authorization is cancelled.
Medical Authorization For Minor Child In Middlesex
Category:
State:
Multi-State
County:
Middlesex
Control #:
US-00426
Format:
Word;
Rich Text
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Using this form, you give permission to other adults to act for you, in your absence, regarding the treatment of your child. This is a legal document.To be considered for appointment as guardian of a minor's property, a person must make an application to the Surrogate's Court. Don't have a MyChart account? This consent form should be taken with the child to the hospital or physician's office when the child is taken for treatment. Generally, when children cannot legally consent because they are minors, the parent or guardian of the child consents as representative of the patient. She approached my husband and asked for my daughter's pediatrician info and a medical authorization form.