Consent for Emergency Medical Treatment California: LIC 627

Form Template

The Consent for Emergency Medical Treatment California: LIC 627 mobile app allows parents and guardians to give their informed consent for treatment by a health care provider when they are away from home.

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When your child is away from home, it may be necessary to give parental consent for medical decision-making to the health care provider tending to your child. Any parent or guardian can give their informed consent for medical treatment electronically with a smartphone or tablet. The medical authorization form gives the health care provider the power to make medical decisions and take action when a child's health is at risk.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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