Parental Consent for Treatment

This consent form should accompany the child to the hospital or physician’s office when he/she is brought in for treatment.

RCMH cannot provide care for children under the age of 18 without consent from a parent or guardian. The only exception is if the child’s condition is life threatening. If you are going out of town, make sure to fill out a parental consent form for your child before you leave.

Download parental consent form

If you are unable to print the form, please stop by our registration desk to request a copy.

Preparing for Your Visit

The dedicated staff at RCMH wants to make the preparations for your hospital stay as easy as possible. Taking time to understand the preparation process will speed up your registration at the hospital and inform you of the expectations throughout your stay to make your hospital visit as comfortable as possible.

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Parental Consent for Treatment Rusk County Memorial Hospital