Professional Documents
Culture Documents
Minor Child Medical Consent Form
Minor Child Medical Consent Form
Minor Child Medical Consent Form
the ___ day of _______________________, 20___ do hereby authorize Mrs. Alina Comanescu to
receive and send all documents referring to the medical assistance of the child.
A photocopy of this consent shall be considered as effective and valid as the original.
_____________________________________ __________________
Signature of Parent or Legal Guardian Date
______________________________ ______________________________
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