Consent FormMore Information
Certain medical and surgical treatments can only be provided with the consent of a parent or legal guardian. Authorization is needed for operations, diagnostic tests, and release of information. Consent of a patient under the age of 18 must be signed by a parent or legal guardian. Click the link below to open a printable emergency room consent form.

Emergency Room Consent Form





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1314 East Walnut Street - PO Box 760 - Washington, Indiana 47501 - (812) 254-2760
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