Search: 
Go Search
 
Patient Information
 
Parental Consent Form
 

Parental Consent Form

Protecting your children when you're not with them means more than getting a sitter. To be absolutely safe, you should provide written authorization for a responsible adult to approve emergency medical treatment should your child need it. Medical center personnel cannot treat a child without parental or guardian consent unless the injuries are life threatening.

Complete and date this form and give it to the adult you have designated each time you are going to be away from your child. Ask that adult to keep the form handy so it is easily accessible in the event of a medical emergency.

Click here for the Parental Consent Form.

 
  RediMed
7333 W. Jefferson Blvd.
Fort Wayne, IN 46804
(260) 435-7839
Copyright 2010
All rights reserved.
For Employees
Terms & Conditions of Use
Privacy Statement
Sitemap