Authorization for Alternate Consent
Authorization for Alternate Consent Form
This document allows a parent, legal guardian, or legal caregiver to authorize specific individuals to consent to medical care for a patient at a healthcare facility. It also permits communication about the patient’s care with the designated individuals. The form remains valid until revoked in writing and ensures the responsible party agrees to pay for any services provided under this consent.
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Authorization for Alternate Consent
Sale price$150.00