This form is designed for those situations where minors are under the care of a child care provider. It gives authority to the child care provider to arrange for medical care for a minor in the event of an emergency. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
Humana Caregiver Consent Form
State:
Multi-State
Control #:
US-02756BG
Format:
Word;
Rich Text
Instant download
Description Caregiver Consent Form For Emergency Treatment
Free preview Consent Medical Treatment Template
How to fill out Caregiver Consent Printable?
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