Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out CG-5484I CHILD DEVELOPMENT SERVICES MEDICAL CONSENT AUTHORIZATION
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
Click ‘Get Form’ to open it in the editor.
Begin by entering your name as the parent or legal guardian in the designated field. Ensure that you provide accurate information for legal purposes.
Fill in your child's full name, age, and contact details including phone number and address. This information is crucial for identification during medical emergencies.
Provide insurance details, including the insurance company name, address, insured person's name, employee ID number, employer name and address, insurance ID card number, and effective date of insurance.
Appoint an Attorney-in-Fact by selecting the Child Development Center Director or senior personnel present during emergencies. This grants them authority to make medical decisions on your behalf.
Sign and date the form at the bottom to validate your consent. Remember that this document must be notarized; ensure you complete this step before submission.
Start using our platform today to easily fill out and manage your CG-5484I form online for free!
Fill out CG-5484I CHILD DEVELOPMENT SERVICES MEDICAL CONSENT AUTHORIZATION (TO BE USED BY CIVILIAN FAMILY MEM online It's free
This site uses cookies to enhance site navigation and personalize your experience.
By using this site you agree to our use of cookies as described in our Privacy Notice.
You can modify your selections by visiting our Cookie and Advertising Notice.... Read more...Read less
