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Authorization for Medical Care of a Minor

File Attachment

1076-0164_bie-authorization-medical-care_exp-03-31-26_508.pdf

Type of Form

IA Paperwork Reduction Act (PRA) Forms

IA Internal Use Only

No

OMB Control Number

1076-0164

This is a BIE form which gives permission for a physician, surgeon, or dentist to provide necessary care to a child whose parents are not immediately available.

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