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Authorization for Medical Care Form Governor's School for the Arts

Authorization for Medical Care Form Governor's School for the Arts

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Instructions and help about Authorization For Medical Care Form Governor's School For The Arts

this is the consent for medical only cases it needs a sticker print your name in the black space of number one the patient initials down the side for each point initially in states that they understand the point not that they are consenting the patient prints and signs on the bottom a parent or guardian prints and signs on the bottom if indicated by age or disability make sure to choose the appropriate box for who is signing either the patient the parent or the guardian then the nurse signs and dates on the right hand side then are signs a second time if a parent or guardian size

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