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As an important tool and documentation for the practice, this form gives a physician permission to treat a minor and, in the event of an emergency when a parent/legal guardian cannot be reached, the doctor is given consent to provide medically necessary services.
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Form
Quantity:
1 Pad
PEN Member Price:
$18
List Price:
$20
Quantity:
2 Pads
PEN Member Price:
$20
List Price:
$27
Quantity:
4 Pads
PEN Member Price:
$44
List Price:
$50
Quantity:
6 Pads
PEN Member Price:
$53
List Price:
$60