Consent Letter Parents 48816 | Letter To Authorize Parent Guardian To Bring Minor For Covid Testing

136x Filetype PDF File size 0.11 MB Source: www.lawrencegeneral.org

File: Consent Letter Parents 48816 | Letter To Authorize Parent Guardian To Bring Minor For Covid Testing

Letter to Authorize Parental/Guardian Consent for a minor to be brought for COVID testing I,_____________, ___________, ______________ (parent/guardian full name) (date of birth) (parents/guardian Tel#) authorize __________________, _______________ (authorized ...

Filetype PDF | Posted on 19 Aug 2022 | 2 years ago

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...Letter to authorize parental guardian consent for a minor be brought covid testing i parent full name date of birth parents tel authorized person s bring my child get tested he she is the relationship minors signature instructions print clearly and use legal patient email completed signed form screening lawrencegeneral org must photo id that matches dob on this when bringing yo nombre del padre fecha de nacimiento numero telefono autorizo persona que trae el menor quien es relacion con para hacerse la prueba firma...

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Category: Uncategorized / Uncategorized
Posted on: 19 Aug 2022 | 2 years ago
Tag: download pdf, letter, authorize, parent, guardian, bring, minor, covid, testing,
Filetype: PDF
File size: 0.11 MB
Views: 136x
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