Patient Information
The Office Visit Consent for Minors form will allow you to designate another adult to bring your child in for care. A parent (or legal guardian) may complete The Consent for Minors Form to allow another responsible adult (i.e. a grandmother or babysitter) to bring the child in for their medical care.
- Download the Office Visit Consent Form for Minors* (253 KB)
- Visalia's Privacy Practices (will open new window)
- H1N1 Vaccine Consent Form* (463 KB)
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