Form AD65 Parent's Authorization for Medical and Surgical Care - California

Form AD65 Parent's Authorization for Medical and Surgical Care - California

What Is Form AD65?

This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form AD65?A: Form AD65 is the Parent's Authorization for Medical and Surgical Care in California.

Q: What is the purpose of Form AD65?A: The purpose of Form AD65 is to authorize medical and surgical care for a minor child in California.

Q: Who needs to fill out Form AD65?A: Parents or legal guardians of a minor child in California need to fill out Form AD65.

Q: What information is required on Form AD65?A: Form AD65 requires information about the parent or legal guardian, the child, and the authorization for medical and surgical care.

Q: Is Form AD65 legally binding?A: Yes, Form AD65 is a legally binding document that allows a parent or legal guardian to authorize medical and surgical care for a minor child in California.

Q: Can Form AD65 be revoked?A: Yes, a parent or legal guardian can revoke the authorization on Form AD65 by completing a new form or providing written notice to the healthcare provider.

Q: Can Form AD65 be used for non-emergency medical care?A: Yes, Form AD65 can be used for both emergency and non-emergency medical care for a minor child in California.

Q: Do both parents need to sign Form AD65?A: In most cases, both parents are required to sign Form AD65. However, there are exceptions for situations such as sole custody or if one parent cannot be located.

Q: Is Form AD65 specific to California?A: Yes, Form AD65 is specific to California and may have different requirements or names in other states.

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Form Details:

  • Released on February 1, 2002;
  • The latest edition provided by the California Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AD65 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Social Services.

Download Form AD65 Parent's Authorization for Medical and Surgical Care - California

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  • Form AD65 Parents Authorization for Medical and Surgical Care - California, Page 1
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