PDF
Word
Form OBH-143 Physician's Certificate for a Minor - Louisiana
What Is Form OBH-143?
This is a legal form that was released by the Louisiana Department of Health - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form OBH-143?
A: Form OBH-143 is the Physician's Certificate for a Minor in Louisiana.
Q: What is the purpose of Form OBH-143?
A: The purpose of Form OBH-143 is to certify a minor's need for medical treatment or care in a residential care facility.
Q: Who completes Form OBH-143?
A: A physician or other qualified healthcare professional completes Form OBH-143 when it is necessary to document a minor's need for medical treatment or care in a residential care facility.
Q: Is Form OBH-143 mandatory?
A: Yes, if a minor is seeking medical treatment or care in a residential care facility in Louisiana, Form OBH-143 is mandatory to document their need for such treatment or care.
Form Details:
- Released on May 1, 2017;
- The latest edition provided by the Louisiana Department of Health;
- 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 printable version of Form OBH-143 by clicking the link below or browse more documents and templates provided by the Louisiana Department of Health.
Download Form OBH-143 Physician's Certificate for a Minor - Louisiana
1
2
