Parental Consent To Treat A Minor Form
The following form is designed for those situations where minors are unaccompanied by either parents or legal guardians. This “Parental Consent to Treat A Minor Form” gives authority to a designated adult to arrange for medical care for a minor. Medical care cannot be provided to a minor without the approval by the parents or legal guardians, unless there is written consent authorizing an agent to give approval. In addition, a copy of the Parent/Legal Guardian photo ID must be provided with consent.
Why Choose Us
SimonMed Imaging and its affiliates have been serving the community for over 30 years. Our mission is to provide best-in class affordable care through the use of advanced technology. We have patient-focused staff and highly trained medical professionals.
SimonMed has over 160 convenient locations across 11 states and provides late night and weekend appointments to accommodate patients.