Minor Informed Consent

I _________________ hereby give permission (and until further notice) to _____________________to provide my minor child/person under my guardianship with therapeutic massage services as deemed appropriate to treat presenting conditions/injuries. I understand that I am financially responsible for the minor, and that all statements contained in this consent apply equally to myself and to the minor. Signed __________________________________________ Parent/Guardian

Date______________

My child/charge has my permission to appear for treatment without me present and I further understand that I must make the appointments. Signed __________________________________________ Parent/Guardian

Date______________

Minor Informed Consent.pdf

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