| We, the undersigned parents
or legal guardian of the above student, do hereby consent to any
x-ray examination, anesthetic, medical or surgical diagnosis or
treatment and hospital services that may be rendered. It is
understood that reasonable effort will be made to contact the
parent/guardian and the doctor listed above before any other physician
is called by the school. It is understood that this consent is
given in advance of any specific diagnosis or treatment which might be
required. |
