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Treatment of Minors

Our providers are unable to provide treatment to unaccompanied minors without written permission from a parent or guardian. For your convenience, we have attached an easy to fill out form that will provide us with the necessary permission to treat them in your absence. Please print and fill out the Authorization for Treatment of Minors form and present it to the front desk staff at the scheduled appointment.

Authorization for Treatment of Minors (English)

Authorization for Treatment of Minors (Spanish)

Treatment of Minors