Advance Authorization for Treatment of a Minor

It may be more convenient to have prior authorization for medical care delivered directly to minors without a parent having to be present prior to treatment. Please download and complete the form for advanced authorization and have it on file with the Kearney Clinic. Your minor child may bring the form with them on their first visit. The Kearney Clinic staff may call the parent to validate signature and information on the form.
Download the Advance Authorization for Treatment of Minor form here. advance-auth-for-minor

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