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.

ADVERTISEMENT

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;

Download a fillable version of Form AD65 by clicking the link below 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

4.7 of 5 (69 votes)
  • Form AD65 Parents Authorization for Medical and Surgical Care - California, Page 1
ADVERTISEMENT

Related Documents