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I, _____________________________________________, parent or legal guardian of _______________________________________________, born ________________________, do hereby consent to any medical care and the administration of anesthesia determined by a physician to be necessary for the welfare of my child while said child ...

Who may make an authorization to consent to health care for minor. Any custodial parent having understanding and capacity to make and communicate health care decisions who is 18 years of age or older or who is emancipated may make an authorization to consent to health care for the parent's minor child.

I, ____________________________, confirm that I am the parent/guardian of _______________________. This is my written consent for _____________________________ to be employed by _________________. I certify that the herein stated is true and correct to the best of my knowledge and belief.

1 In some cases, a physician may refuse to proceed with treatment without the minor's assent. In North Carolina, a minor under the age of 18 is subject to the supervision and control of his or her parent, unless the minor has been emancipated. G.S. 7B-3400.

Parental consent is a document in writing required before issuing a marriage license when either one or both parties to a marriage are between the ages of 18 and 20. It is signed by the father, mother, surviving parent or guardian, or persons having charge of them, in the order mentioned.

A power of attorney for care of minor child is often used for a child's medical needs. The attorney-in-fact is generally permitted to choose a doctor, dentist, and any other necessary healthcare provider on behalf of the parent. They can also authorize immunizations, surgical procedures, or other specialized care.

I (patient name) give permission for [practice name] to give me medical treatment. I allow [practice name] to file for insurance benefits to pay for the care I receive. I understand that: [practice name] will have to send my medical record information to my insurance company.