Consent For A Minor To Receive Treatment

Leaving Town?

You can make sure your child has quick access to medical treatment by signing a Minor Consent Form. If your child needs care while you are away, this form will save valuable time in tracking down a parent/guardian to obtain permission for treatment.

Please know that if your child's injuries or illness is life-threatening, Eaton Rapids Medical Center may begin treatment prior to your approval.

Click here to download the Minor Consent Form in Adobe Acrobat's PDF format. Print off the form, fill it out and return it to Eaton Rapids Medical Center at the time treatment is needed.

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