Consent To Treat A Minor Editable Consultation Form

Consent To Treat A Minor Editable Consultation Form

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The Consent To Treat A Minor Editable Consultation Form can be used to obtain written permission from parent/guardian for consent before going ahead and performing a treatment .  This consent form is fully editable, and you can brand it with your own logo.

Details of the manual

This manual includes:

  • Minors full name. 
  • Minors DOB. 
  • Parents full name.
  • Parents DOB. 
  • Parents address. 
  • Parents contact number. 
  • Parents email address. 
  • Guidelines that the parent is agreeing to regarding performing the treatment.
  • Signature area for the parent to sign to provide consent. 
  • Information regarding legal waiver. 
  • Signature and date section for the therapist to sign. 

Format: Microsoft Word.