Patient Forms

Consent for Treatment of Minors

Columbus Ophthalmology Associates strongly encourages that a parent or legal guardian accompany any minor child (17 years or younger) to their medical appointments. In the event that a parent or legal guardian is unable to accompany his or her minor child to a medical appointment, the parent or legal guardian should download this form and either (1) sign this Consent for Non-Emergency Treatment of Minors and mail or fax to our office prior to the medical appointment or (2) sign this form and give it to the minor child to present at the time of the medical appointment. In the event that a minor child presents for a non-urgent medical appointment without a parent or legal guardian or a signed consent, treatment will be denied.

• Consent for Treatment of Minors Form