Parental Rights Policy Online Form Palm Bay Location

Parental Rights Policy Palm Bay

  • Parental Rights Online Form

  • Our office policy is to show proper documentation of guardianship/legal custody which therefore gives the right to the legal guardian the ability to make major decisions for the child's health and well being.
  • In the event that you being the parent or legal guardian can not bring child to their dental appointment, you will need to give permission in writing to the office.
  • (Parent Name) I
  • , give permission to the following people to bring
  • (Child's Name)
  • to their dental appointments and make all the appropriate decisions on my behalf.
  • Please sign below to indicate you have read and understand our parental rights policy
  • 6050 BABCOCK ST. SUITE NO.2, PALM BAY, FL, 32909    |     PHONE: 321-725-9946