Do you fit the following criteria?

Please complete the Minor Consent form out in its entirety if patient is a minor. In the event the patient to be seen is a minor and the minor's parent(s) is not present or available to consent for treatment, written legal proof of Guardianship will then be needed along with the Minor Consent Form from an adult in the presence of the minor in order for treatment to be rendered. We thank you for your patience and understanding with this delicate process.

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