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Form LIC627C Consent for Emergency Medical Treatment - Adult and Elderly Residential Facilities - California
What Is Form LIC627C?
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 the LIC627C Consent for Emergency Medical Treatment form?A: The LIC627C is a form used in California's adult and elderly residential facilities to obtain consent for emergency medical treatment.
Q: Who needs to sign the LIC627C form?A: The resident or their legally authorized representative needs to sign the LIC627C form.
Q: Can the resident refuse to sign the LIC627C form?A: Yes, the resident has the right to refuse or revoke their consent for emergency medical treatment by not signing the LIC627C form.
Q: Is the LIC627C form legally binding?A: Yes, the signed LIC627C form establishes consent for emergency medical treatment and is legally binding.
Q: Can the facility provide emergency medical treatment without the LIC627C form?A: In emergency situations where immediate medical treatment is necessary and the LIC627C form has not been signed, the facility can provide treatment to stabilize the resident.
Q: How long is the LIC627C form valid?A: The LIC627C form is valid for one year from the date of signature, unless revoked or a different date is specified.
Q: Can the LIC627C form be modified or altered?A: The LIC627C form cannot be modified or altered, and any changes must be made by completing a new form.
Form Details:
- Released on April 1, 2000;
- 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 LIC627C by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Social Services.
