years of age, hereby voluntarily consent to the rendering of such care, including diagnostic procedures, surgical and medical treatment and blood transfusions, by authorized members of the hospital staff or their designees, as many in their professional judgement be necessary.
I hereby acknowledge that no guarantees have been made to me as to the effect of such examinations or treatment on my child's condition.
I have read this form and certify that I understand its content.
We/I hereby give our (my) consent to Los Angeles Orthopedic Surgery Specialists.
Who will be caring for our (my) child