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Parental Consent for Surgery on Minor Child

Doctors and hospital staff, get the consent of a parent to perform necessary surgery on a child with this Parental Consent for Surgery on Minor Child form.

The parent acknowledges having been made aware of the risks involved with the surgery, and that there is no guarantee of success. The parent consents to the surgery and the use of anesthetic. If appropriate (according to age), the minor child also signs the form.

This Parental Consent for Surgery on Minor Child form is available as a downloadable and fully editable MS Word document.

Download: Parental Consent for Surgery on Minor Child

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