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proxy for consent to treat - …

proxy for consent to treat 1701 Spring Street, Suite A Jeffersonville, Indiana 47130 (812)282- 1367 Fax (812)284- 8377 We realize that Parents or Legal Guardians may not always be able to personally bring their child to the office themselves. However, Indiana Law dictates that a patient under the age of 18 CANNOT be treated without a Parent or Legal Guardian present. If your child has an on-going medical condition or is on daily medications, we do require a parent or legal guardian to be present anytime your child has a check-up appointment.

Proxy for consent to treat !!!!! 1701Spring!Street,!Suite!A!!!!! Jeffersonville,!Indiana!47130!! (812)282?1367Fax!(812)284?8377! We realize that Parents or Legal Guardians may not always be able to personally bring their child

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