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Emergency

Parental Consent Form

Parental Consent Forms help you plan ahead

If there's one thing that's certain about children and teenagers, it's that they're unpredictable. Just like emergencies. That's why Riverview offers free Parental Consent for Medical Treatment forms. Complete a form for each child and each caregiver. This way you can be certain your child's medical history is recorded in the chance he or she needs medical attention in your absence.
 
Print or download Parental Consent Form (PDF)
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For More Information

If you have a medical emergency, call 911.

 

Billing Questions:

(317) 802-3146 or

1-800-292-0973
 


For a true medical emergency, call 911. Visit an ER if you are experiencing:
  • Severe bleeding
  • Difficulty breathing
  • Chest pain or pressure
  • Broken bones
  • Partial or total amputation of a limb
  • Trauma or injury to the head
  • Sudden dizziness or difficulty seeing
  • Severe abdominal pain
 
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